Nose

Question 1

rhinophyma definition

Answer 1

hypertrophy of skin and sebaceous glands

Question 2

rhinophyma associated with (2)

Answer 2

acne rosacea

aggravated with chronic alcohol abuse

Question 3

disease that causes ATROPHY of nasal septum

Answer 3

lepropsy

Question 4

slowly growing ulcerated NODULAR area can be _____ of eye or ___

Answer 4

basal cell carcinoma

lupus vulgaris of TB

Question 5

abnormal respiratory motion seen in newborns

Answer 5

respiratory distress syndrome

hyaline membrane disease

Question 6

characteristic x-ray feature of respiratory distress syndrome
(hyaline membrane disease)

Answer 6

ground glass appearance

Question 7

flaring of nasal ali seen in (2) conditions

Answer 7

pneumonia

respiratory distress syndrome (hyaline membrane disease)

Question 8

CLEAR nasal discharge and CSF differentiated by testing with _____

Answer 8

glucose oxidaze paper

- glucose present in CSF = color change

Question 9

prulent nasal discharge may be associated with (3)

Answer 9

foreign body in nasal cavity
common cold
prodromal sign of infxn (measles, pertussis, polio)

Question 10

allergy induced prulent discharge may have ____ present

Answer 10

eosinophils

Question 11

common direct trauma to nose causing nosebleed (usually from picking) occurs at _____ portion of nose called _____

Answer 11

anterior portion of nose

Kiesselbach’s Plexus

Question 12

vascular network of anterior nasal septum

Answer 12

Kiesselbach’s Plexus

Question 13

spontaneous nosebleeds may be seen in people with

Answer 13

HTN

Question 14

less common cause for nosebleed

Answer 14

neoplasm in nose, nasopharynx, or sinus

Question 15

(2) conditions that may cause nose bleeds

Answer 15

rheumatic fever

hemorrhagic diathesis with wide spread ecchymosis or petechial hemorrhage

Question 16

spontaneous epistaxis (nose bleeding) is often prodromal to ____; 2 other characteristics associated are:

Answer 16

prodromal to typhoid fever

• nocturnal fever
• bradycardia

Question 17

disease that epistaxis is often presenting sign in:

Answer 17

Ostler- Weber- Rondeau Disease (hereditary hemorrhagic telangectasia

Question 18

rhinitis medicomentosa definition

Answer 18

patient causes own nasal obstruction by chronic use of intranasal epinephrin (nose drops)

Question 19

unilateral nasal obstruction may be caused by (4)

Answer 19

deviated septum
nasal polyps
foreign body
malignant disease

Question 20

both ______ should not be closed (atretic) at birth; this can cause ____

Answer 20

chonanae

choking at birth (oral airway is a must)

Question 21

view of the nose should include:

Answer 21

vestibules
mucosa
inferior and middle turbinate bones
middle meatus
septum

Question 22

in patient with TERTIARY SYPHILIS, you can view (4) parts of nose with bright light

Answer 22

inferior turbinates
middle turbinates
ethmoidal spine
remnant of vomer

Question 23

nasal muscosa is ______ than oral mucosa

Answer 23

much brighter/redder

often misdiagnosed because of this

Question 24

swollen erectile turbinates are seen in __

Answer 24

common cold

- associated with hyermemic mucosa and characteristic discharge

Question 25

swollen and *PALE* turbinates indicate:

Answer 25

allergic rhinitis (may be seasonal, dependent upon vegetation as allergen)

Question 26

turbinates are atrophic; mucosa is covered with *PUS* and *CRUST* and patient complains of offensive *ODOR*

Answer 26

atrophic rhinitis

Question 27

offensive odor in atrophic rhinitis is called

Answer 27

ozena

Question 28

Nasal septum with a perforation can be caused by (2)

Answer 28

TB or systemic lupus | usually, it is from chronic picking or result of submucus resection operation

Question 29

disease that presents with several edematous boggy secular masses in nasal passage (polyps)

Answer 29

cystic fibrosis

Question 30

polyps are seen MC in people with

Answer 30

allergic rhinitis

Question 31

MC location of nasal polyps

Answer 31

middle meatus

Question 32

characteristics of polyps

Answer 32

pale non-tender move freely

Question 33

characteristics of turbinates

Answer 33

pink tender to touch immobile