test 31- letter of referral

Question 1

I would be … if you could see this young man who has had a … blocked nose over the last few months.

Answer 1

grateful,

persistently

Question 2

On two occasions I have noted polyps. They … to a small degree to beclamethasone … spray, but continue to … .

Answer 2

respond,
nasal,
persist

Question 3

I would be grateful for your … .

Answer 3

opinion

Question 4

Presentation and … :

He complains of long-standing nasal … on both sides with only partial … to Beconase nasal spray.

Answer 4

findings,
obstruction,
response

Question 5

He also says that his ears pop occasionally and he gets some facial … and post-nasal … .

Answer 5

discomfort,

drip

Question 6

On … today his nose showed congested nasal mucosa and polypoid middle turbinate and small middle metal polyps.

Answer 6

examination

Question 7

Impression and plan:
In the first …, I have started him on a course of Nasonex nasal spray which is a more modern steroid spray than Beconase.

Answer 7

instance

Question 8

I shall see him again in two months’ time to see how he … .

Answer 8

responds