Otolaryngology

Question 1

unilateral facial pain/pressure, fever > 102, purulent nasal discharge with obstruction of the nasal passages indicates what condition?

Answer 1

bacterial sinusitis

Question 2

t/f antibiotics for acute rhinosinusitis should be considered for patients with at least 3 days of severe symptoms, significant worsening of symptoms after 3-5 days, or 7 or more days of symptoms

Answer 2

true

Question 3

t/f studies have shown that amoxicillin is as effective as augmentin for first line treatment of acute bacterial rhinosinusitis

Answer 3

true

Question 4

for adults with PCN class allergy, what other two treatment options are first line for bacterial rhinosinusitis?

Answer 4

doxycycline or fluoroquinolone

Question 5

t/f bactrim and macrolide antibiotics can be used first line for treatment of acute bacterial rhinosinusitis

Answer 5

false - high rate of resistance in S. pneumoniae and H. influenzae

Question 6

what are the three most common pathogens responsible for bacterial rhinosinusitis?

Answer 6

strep pneumo, H. influenzae and moraxella

Question 7

patients with acute bacterial rhinosinusitis that improves over how many days do not need an antibiotic?

Answer 7

7 days

Question 8

a CRP level above what value increases the likelihood of bacterial rhinosinusitis?

Answer 8

greater than 15

Question 9

what type of CT scan is needed to differentiate between orbital and preseptal cellulitis?

Answer 9

CT w/ contrast

Question 10

according to the IDSA, what is the antibiotic treatment duration for bacterial rhinosinusitis in adults and children, respectively?

Answer 10

adults : 5-7 days
children: 10-14 days

Question 11

what is the most common complication of acute rhinosinusitis?

Answer 11

preseptal cellulitis

Question 12

what is cacosmia?

Answer 12

foul smelling odor ( found in bacterial sinusitis)

Question 13

IDSA recommends antibiotic therapy for sinusitis if severe symptoms have persisted how many days?

Answer 13

3 or more days

Question 14

what DME device is indicated for a child with OSA s/p T&A with persistent symptoms and posterior crossbite?

Answer 14

rapid maxillary expansion device

Question 15

sleep dependent laryngomalacia is best diagnosed through what modality?

Answer 15

drug induced sleep endoscopy

Question 16

supraglottoplasty is a surgical option to treat what cause of refractory OSA in children?

Answer 16

sleep dependent laryngomalacia

Question 17

what two medications can be utilized for OSA in children prior to tonsillectomy?

Answer 17

montelukast and intranasal steroid

Question 18

which two conditions that could be an etiology for refractory OSA after T&A would be diagnosed with drug induced sleep endoscopy?

Answer 18

1. lingual tonsillar hypertrophy
2. sleep dependent laryngomalacia