FCM-L9
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Questions and Answers

Which sinus is located between the eyes and may have an impact on the optic nerve and carotid artery?

  • Frontal sinus
  • Sphenoid sinus (correct)
  • Maxillary sinus
  • Inferior turbinate

    • What is the approximate daily production of mucus in the sinuses?

  • 1200-1400 ml
  • 600-800 ml (correct)
  • 800-1000 ml
  • 1000-1200 ml

    • Which type of sinusitis is characterized by a clear problem and obvious diagnosis, with high impact on the patient?

  • Bacterial sinusitis
  • Chronic sinusitis
  • Acute sinusitis (correct)
  • Viral sinusitis

    • Which of the following is a symptom that can help differentiate between recurrent viral URIs and acute bacterial sinusitis (ABS)?

    <p>Purulent drainage</p> Signup and view all the answers

    Which imaging technique is NOT indicated for the diagnosis of ABS?

    <p>MRI</p> Signup and view all the answers

    What is the recommended first-line antibiotic treatment for acute bacterial sinusitis?

    <p>Amoxicillin</p> Signup and view all the answers

    Which sinus is present at birth and develops in children between 3-14 years of age?

    <p>Sphenoid sinus</p> Signup and view all the answers

    According to the text, what are the symptoms of chronic rhinosinusitis (CRS)?

    <p>Nasal obstruction/congestion, purulent drainage, facial pain/pressure/fullness, decreased smell</p> Signup and view all the answers

    True or False: Opening a blocked sinus alone can fix the problem in chronic rhinosinusitis (CRS).

    <p>False</p> Signup and view all the answers

    What is the prevalence of chronic rhinosinusitis (CRS) in Europe?

    <p>10.9%</p> Signup and view all the answers

    What are the cardinal symptoms of chronic rhinosinusitis (CRS)?

    <p>Nasal obstruction/congestion, purulent drainage, facial pain/pressure/fullness, decreased smell</p> Signup and view all the answers

    Which of the following is a chronic inflammatory condition that is less associated with asthma/atopy and has a mixed Th-1/Th-2 inflammatory profile?

    <p>CRS without polyps (CRSsNP)</p> Signup and view all the answers

    Which of the following is a treatment option for CRSwNP according to the EPOS12 guidelines?

    <p>Topical steroids</p> Signup and view all the answers

    What is the goal of endoscopic sinus surgery?

    <p>To allow mucus to drain properly</p> Signup and view all the answers

    What is the typical course of recovery after endoscopic sinus surgery?

    <p>1 week out of work/physical activity</p> Signup and view all the answers

    What are the two main types of sinusitis discussed in the text?

    <p>Acute sinusitis and Chronic sinusitis</p> Signup and view all the answers

    What are the typical symptoms of viral URI in children and adults?

    <p>Nasal congestion, nasal drainage (thin/clear or thick/discolored), cough (day and night), variable fever, fussy, poor sleep</p> Signup and view all the answers

    What is the approximate daily production of mucus in the sinuses?

    <p>600-1800ml</p> Signup and view all the answers

    What are the two main types of chronic rhinosinusitis (CRS)?

    <p>CRS with polyps (CRSwNP) and CRS without polyps (CRSsNP)</p> Signup and view all the answers

    What are the cardinal symptoms of chronic rhinosinusitis (CRS)?

    <p>Nasal obstruction/congestion, purulent drainage, facial pain/pressure/fullness, decreased smell</p> Signup and view all the answers

    What are the two main factors used to classify CRS?

    <p>Presence of polyps and identifiable clinical factors</p> Signup and view all the answers

    What are the three criteria for diagnosing acute bacterial sinusitis (ABS)?

    <p>The three criteria for diagnosing acute bacterial sinusitis are persistent illness, worsening course, and severe onset.</p> Signup and view all the answers

    What is the recommended treatment for acute bacterial sinusitis (ABS)?

    <p>The recommended treatment for acute bacterial sinusitis is oral antibiotics, offered to all children with diagnosed ABS.</p> Signup and view all the answers

    What are the microbiology findings for acute bacterial sinusitis (ABS)?

    <p>The microbiology findings for acute bacterial sinusitis include Streptococcus pneumoniae, Haemophilus influenzae, Moraxella, and sterile cases.</p> Signup and view all the answers

    What are the complications of acute bacterial sinusitis (ABS)?

    <p>The complications of acute bacterial sinusitis include sinus development abnormalities and orbital complications, with ethmoid sinus being the most common site.</p> Signup and view all the answers

    According to the text, what are some common conditions included in chronic rhinosinusitis without polyps (CRSsNP)?

    <p>Conditions included in chronic rhinosinusitis without polyps (CRSsNP) are fungal ball, silent sinus syndrome, mucoceles, and odontogenic sinusitis.</p> Signup and view all the answers

    According to the EPOS12 guidelines, what are the recommended treatments for chronic rhinosinusitis without polyps (CRSsNP)?

    <p>The recommended treatments for chronic rhinosinusitis without polyps (CRSsNP) according to the EPOS12 guidelines are topical steroids, oral steroids, oral antibiotics, and saline irrigation.</p> Signup and view all the answers

    What are the goals of endoscopic sinus surgery?

    <p>The goals of endoscopic sinus surgery are to allow mucus to drain properly (plumbing) and to allow topical medications to actually reach diseased sinus mucosa.</p> Signup and view all the answers

    What are the risks associated with endoscopic sinus surgery?

    <p>The risks associated with endoscopic sinus surgery include nose bleed (1%), CSF leak (0.17%), and orbital injury (0.07%).</p> Signup and view all the answers

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