Nasal

Question 1

Red flags in suspected chronic rhinosinusitis? (3)

Answer 1

Unilateral symptoms
Epistaxis
Persistent symptoms despite compliance with 3/12 treatment

Question 2

Management of chronic rhinosinusitis? (3)

Answer 2

Allergen avoidance
Intranasal corticosteroids
Saline irrigation

Question 3

Management of nasal polyps?

Answer 3

Medical- steroid drops for 1/12 max then steroid nasal spray to reduce recurrence
Surgical referral if medical management fails

Question 4

Management of acute sinusitis? (3)

Answer 4

Usually conservative= analgesia, fluids and steam inhalation
Treatment options- steroid nasal sprays, antibiotics (only if severe/persisting symptoms or high risk of complications)
No evidence for decongestants

Question 5

Managemeent of allergic rhinitis? (3)

Answer 5

Nasal steroids
Oral antihistamines
Topical/oral decongestants

Question 6

How long should topical decongestants be used for?

Answer 6

10 days maximum

Question 7

Management of epistaxis if first-aid measures are successful?

Answer 7

Consider Naseptin for 1/52 (or Muporicin if allergy to peanut, soy or neomycin)