75 Questions
Which publication discusses the public health impacts of aeroallergens in Canada?
International Journal of Environmental Research and Public Health
In which publication can information about nasal polyps be found?
The Color Atlas and Synopsis of Family Medicine
Which medical condition is discussed in the publication authored by Small, Keith, and Kim?
Chronic Nonallergic Rhinitis
Where can information about Urticaria be found?
No specific publication mentioned
Which publication focuses on chronic nonallergic rhinitis?
American Family Physician
Which subtype of rhinitis is most likely to be caused by an acute viral infection?
Nonallergic rhinitis
What is the most common cause of nonallergic rhinitis according to the text?
Acute viral infection
Which type of rhinitis is characterized by symptoms triggered by specific allergens?
Allergic rhinitis
Which type of rhinitis is associated with hormonal changes, such as during pregnancy?
Vasomotor rhinitis
What condition is most commonly associated with atrophic rhinitis?
Hypothyroidism
What is atopy defined as in the text?
Genetic predisposition to developing allergic conditions
Which of the following conditions is part of the Atopic Triad mentioned in the text?
Allergic Rhinitis
How does atopy potentially develop into hypersensitivity reactions according to the text?
Leading to urticaria and anaphylaxis
What percentage of Canadians with asthma also suffer from allergic rhinitis or sinusitis according to the text?
80%
In asthma, what is considered an intrinsic feature of the airways independent of associated inflammation?
Hyperreactivity of the airways
Which of the following conditions is a systematic review mentioned in the text?
Allergic rhinitis
In the text, which reference discusses the prevalence of rhinitis in adults worldwide?
Savouré, M. et al.
Which publication distinguishes between allergic and nonallergic rhinitis?
Quillen, D.M. & Feller, D.B.
Which medical book should be referred to for information on 'Current Diagnosis & Treatment Otolaryngology—Head and Neck Surgery'?
McGraw Hill; 2020
Which study provides insights into the triad of current asthma, rhinitis, and eczema among adults?
Pullerits, T. et al.
What is the purpose of tapping the maxillary teeth with a tongue depressor during a physical exam for sinuses?
To look for evidence of sensitivity
In children, which physical findings are common indicators of allergic rhinitis?
Allergic shiners and nasal salute
What is inversely associated with allergic rhinitis during a physical exam?
Enlarged tonsils
During a physical exam for allergic rhinitis, what might enlarged tonsils indicate?
A bacterial cause of rhinitis
What is the significance of giant papillae and a cobblestone appearance in the tarsal conjunctiva in vernal conjunctivitis?
Pathognomonic for vernal conjunctivitis
What is the correct book title for information on Allergic Rhinitis by Kendrick, J. in 2022?
eCPS chapter on Allergic Rhinitis
Which McGraw Hill publication provides information on Asthma by Israel E. in 2022?
Harrison's Principles of Internal Medicine, 21e
Where can one access information on Allergic Rhinitis according to DynaMed?
In which publication can information on Disorders of the Immune System by Kishiyama, J.L., Chang, J.J., & Donovan, S.M. be found?
Pathophysiology of Disease: An Introduction to Clinical Medicine, 8e
Where can one find information on Respiratory Problems according to South-Paul JE, Matheny SC, Lewis EL.?
https://accessmedicine-mhmedical-com.ccnm.idm.oclc.org/content.aspx?bookid=2934 §ionid=247400317
Which type of testing is safe, specific, cost-effective, and does not require trained technicians?
In-vitro serum IgE testing
What is the main reason behind the main symptoms of allergic rhinitis such as itching, nasal congestion, runny nose, and sneezing?
Inflammatory cells releasing chemical mediators
Which type of testing is recommended for children 3 years and older according to evidence-based recommendations for allergy testing?
Percutaneous skin testing
Why is percutaneous skin testing recommended for children 3 years and older?
It is safe and specific
Which type of rhinitis can be secondary to ⍺-agonist withdrawal?
Viral rhinitis
Which type of allergy testing is appropriate at any age according to evidence-based recommendations?
RAST testing
What type of testing should be performed only when needed to change therapy or clarify a diagnosis according to recommendations?
In-vitro serum IgE testing
Which type of blood testing is now equivalent to skin testing in efficacy?
RAST testing
What is the approximate incidence of nasal polyps in the general population?
4%
Which of the following statements about nasal polyps is true?
They are usually benign
Unilateral nasal polyps should raise concerns for what condition?
Malignancy
What is the most common nature of nasal polyps?
Benign
What is the usual characteristic of nasal polyps in terms of laterality?
Bilateral
Which of the following is a common concern associated with unilateral nasal polyps?
Higher chance of malignant transformation
What is a key characteristic of bilateral nasal polyps?
Typically benign and non-neoplastic
In the context of nasal polyps, what does chronic inflammation typically indicate?
Higher probability of spontaneous regression
What is the incidence rate of nasal polyps in the general population?
~5%
Which of the following best describes the benign nature of nasal polyps?
Tendency to regress spontaneously
What is a characteristic feature of bilateral nasal polyps that differentiates them from unilateral nasal polyps?
Involvement of both middle meatuses
Which of the following is a reason why nasal polyps are more common in individuals with chronic inflammation?
Increased vascular permeability
What aspect of nasal polyps contributes to their generally benign nature?
Smooth surface appearance
Why are unilateral nasal polyps of particular concern compared to bilateral nasal polyps?
Higher likelihood of being malignant
What factor contributes to the lower incidence of nasal polyps in the general population?
Presence of normal breathing patterns
What is a common concern when unilateral nasal polyps are present?
Malignancy
Which condition is most likely to manifest with bilateral nasal polyps?
Cystic fibrosis
What is the incidence of bilateral nasal polyps in the general population?
1-2%
Which characteristic best describes the chronic inflammatory nature of nasal polyps?
Steroid-responsive
Why are nasal polyps generally considered benign growths?
Non-invasive nature
What is a key characteristic of bilateral nasal polyps according to the text?
They are frequently associated with nonallergic rhinitis
In the U.S., what percentage of rhinitis cases does nonallergic rhinitis represent?
At least 23%
Why might unilateral nasal polyps raise concerns?
Because they can be indicative of underlying malignancy
What is a common characteristic of chronic inflammation associated with rhinitis?
It can lead to the formation of nasal polyps over time
What is the benign nature of most nasal polyps discussed in the text?
They are typically noncancerous growths with no malignant potential
Which of the following is a characteristic that raises concerns for unilateral nasal polyps?
Unilateral in nature
What is the approximate incidence of bilateral nasal polyps in the adult population?
15%
Which of the following is a key feature of chronic inflammation related to nasal polyps?
Formation of nasal crusts
What distinguishes the benign nature of nasal polyps compared to other nasal conditions?
Predominantly inflammatory
In the context of nasal polyps, what is a significant concern if they are found unilaterally?
Higher likelihood of being malignant
Which factor showed a 40% lower risk in subjects who had lived on a farm during their first year of life?
Early pet exposure
What symptom is most likely to be associated with chronic acute rhinitis?
Postnasal drip
What does the presence of anaphylactic reactions following insect stings indicate about the patient?
They are likely to be atopic
Which medication is least likely to lead to symptoms of rhinitis?
Intranasal corticosteroids
What characteristic suggests that chronic symptoms with seasonal variations are likely due to seasonal allergic rhinitis?
Seasonal variations
Which environmental factor is most likely to contribute to year-round 'perennial rhinitis'?
Pet dander
What is the most likely cause of allergic rhinitis in older children and adolescents?
Pollens and spores
This quiz covers the physical examination techniques for assessing the ears, sinuses, and oropharynx. Topics include using a pneumatic otoscope for Eustachian tube dysfunction, palpation of sinuses, and identifying postnasal drip and enlarged tonsils.
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