Nose

Question 1

A patient presents wiht nasal blocakge, congestion, dental/facial pain and reduction in smell - what could they have

Answer 1

Acute sinusitits

Question 2

How long does it take for acute sinusitis to resolve

Answer 2

2 to 3 weeks

Question 3

If a patient presents with sinusitis symptoms for 10 days or less what should they be advised?

Answer 3

Self care, paracetamol for fever/pain or Ibuprofen, nsal decongestant to relieve congestion

Question 4

If a patient presents wiht a 10 day or more history of sinusitis what should they be offered

Answer 4

high dose nasal corticosteroids e.g. mometasone or fluticasone for 14 days + back up antibiotic prescription

Question 5

MHRA risk with corticosteroid use

Answer 5

risk of central choroidretinopathy with local and systemic administration

Question 6

Beclomethasone can be sold OTC as a nasal spray to what age group

Answer 6

> 18 years