Nose Disease

Question 1

What is the management for allergic rhinitis?

Answer 1

Skin prick tests

RAST (IgE levels)

Question 2

What is the management for non-allergic rhinitis?

Answer 2

Allergen/irritant avoidance

HDM (mattress covers)

Change drug therapy

Topical nasal steroid
+/- antihistamine
Topical anticholinergic

Question 3

Name the emergency complication of acute sinusitis.

Answer 3

Orbital cellulitis

Question 4

Name a cause of unilateral nasal discharge in adults.

Answer 4

Nasal or paranasal tumour

Question 5

Name a cause of unilateral discharge in children.

Answer 5

Foreign body in nose

Question 6

What are the classic allergic rhinitis symptoms?

Answer 6

Nasal block

Nasal Discharge

Rhinorrhoea

Question 7

If a patient is allergic to grass, are their symptoms more likely to be intermittent or persistent?

Answer 7

Intermittent

Question 8

What are some complications of acute bacterial sinusitis?

Answer 8

Oribtal abscess

Cavernous sinus thrombosis

Meningitis

Question 9

When should a nasal fracture be assessed to see if manipulation is needed?

Answer 9

7-14 days after injury

Question 10

What are some of the features of a neonatal airway?

Answer 10

Nasal obligate breathers

Soft small larynx

Question 11

Is stridor a high-pitched inspiratory noise?

Answer 11

Yes

Question 12

What is sudden airway obstruction in a toddler likely to be due to?

Answer 12

Foreign body

Question 13

Which form is adrenaline given in the management of an acute airway not thought to be anaphlyaxis?

Answer 13

Nebulised form

Question 14

What is the cause of respiratory papillomatous disease?

Answer 14

HPV

Question 15

In an emergency algorithm, what counts as a definitive airway?

Answer 15

Tracheal intubation

Tracheostomy

Question 16

What makes up Waldeyer’s ring?

Answer 16

Tonsils

Adenoids

Lingual tonsils

Question 17

What is the virus responsible for glandular fever?

Answer 17

Epstein Barr virus

Question 18

Which antibiotic should be avoided when treating tonsillitis or glandular fever?

Answer 18

Ampicillin

Question 19

What is the main risk associated with a tonsillectomy?

Answer 19

Bleeding

Question 20

What is the primary management of moderate to severe sleep apnoea in children caused by large tonsils?

Answer 20

Surgery

Question 21

What is the intial management of OME if first presentation to ENT clinic?

Answer 21

Watch and review in 3 months

Question 22

What is a contraindication to a rhinoplasty in scotland?

Answer 22

Recent changes to mental health

Question 23

At what age would most people consider otoplasty?

Answer 23

6 years old

Question 24

What is an infective cause of rhinitis?

Answer 24

Viral URTI