Nose Lumps/Conditions

Question 1

Which 2 of the following are used to identify a polyp over a turbinate?

1 - polyps are insensitive
2 - polyps have greater blood flow and appear darker
3 - polyps are more sensitive
4 - polyps are paler as less blood flow

Answer 1

1 - polyps are insensitive

4 - polyps are paler as less blood flow

Question 2

Polyps are associated with all of the following EXCEPT which one?

1 - Allergy
2 - COPD
3 - Asthma
4 - Aspirin sensitivity
5 - Cystic fibrosis

Answer 2

2 - COPD

Question 3

Are unilateral or bilateral nasal polyps more dangerous?

Answer 3

• unilateral

Refer to fast track ENT list

Inflammatory nasal polyps are typically bilateral

Question 4

Which 2 of the following are malignant polyps?

1 - Squamous cell carcinoma
2 - Adenocarcinoma
3 - Antrochoanal polyp
4 - Inverted papilloma
5 - Juvenile nasal angiofibroma

Answer 4

1 - Squamous cell carcinoma
2 - Adenocarcinoma

Malignant tumours can cause unilateral symptoms and so should be referred on fast track ENT list

Question 5

How are malignant polyps managed?

1 - imaging
2 - biopsy
3 - surgery
4 - radiotherapy/chemotherapy
5 - all of the above

Answer 5

5 - all of the above