Podcast
Questions and Answers
What is the first choice of antibiotic in acute rhinosinusitis?
What is the first choice of antibiotic in acute rhinosinusitis?
Which of the following is not related to allergic rhinosinusitis?
Which of the following is not related to allergic rhinosinusitis?
What is the best medication for decreasing sneezing and nose itching in allergic rhinitis?
What is the best medication for decreasing sneezing and nose itching in allergic rhinitis?
What is the prevalence of allergic rhinitis in society according to WHO data?
What is the prevalence of allergic rhinitis in society according to WHO data?
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What is the method of choice in the treatment of patients with persistent allergic rhinitis?
What is the method of choice in the treatment of patients with persistent allergic rhinitis?
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Atrophic rhinitis is most often associated with...
Atrophic rhinitis is most often associated with...
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Which argument about vasomotor rhinitis is not correct?
Which argument about vasomotor rhinitis is not correct?
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What symptom helps to differentiate adenoiditis from rhinosinusitis?
What symptom helps to differentiate adenoiditis from rhinosinusitis?
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What is not a symptom of chronic rhinosinusitis?
What is not a symptom of chronic rhinosinusitis?
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What is the first step in the management of a patient with severe night pain in the ear, not responding to analgesics, conductive hearing loss, red, bulging tympanic membrane and fever?
What is the first step in the management of a patient with severe night pain in the ear, not responding to analgesics, conductive hearing loss, red, bulging tympanic membrane and fever?
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Which method is not the method of choice in treatment of the first stage of laryngeal cancer?
Which method is not the method of choice in treatment of the first stage of laryngeal cancer?
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Which statement is wrong about bilateral vocal cord paralysis?
Which statement is wrong about bilateral vocal cord paralysis?
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What are typical symptoms for an acute bacterial rhinosinusitis?
What are typical symptoms for an acute bacterial rhinosinusitis?
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What is a true statement regarding allergic rhinitis?
What is a true statement regarding allergic rhinitis?
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What is a potential cause of bilateral vocal cord paralysis?
What is a potential cause of bilateral vocal cord paralysis?
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What is a risk factor for developing acute otitis media?
What is a risk factor for developing acute otitis media?
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What is the frequency range used for transmission of speech?
What is the frequency range used for transmission of speech?
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Which of the following is not an indication for immediate CT for acute paranasal sinusitis?
Which of the following is not an indication for immediate CT for acute paranasal sinusitis?
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What does not provoke nystagmus in healthy humans?
What does not provoke nystagmus in healthy humans?
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What is the most common triad of atrophic rhinitis?
What is the most common triad of atrophic rhinitis?
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What is the presentation of labyrinthine fistula?
What is the presentation of labyrinthine fistula?
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How does sound vibration conduction time from tympanic membrane to stapes change?
How does sound vibration conduction time from tympanic membrane to stapes change?
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What is the correct technique for performing otoscopy in adults?
What is the correct technique for performing otoscopy in adults?
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What is the most common complication of purulent ethmoidal sinusitis in childhood?
What is the most common complication of purulent ethmoidal sinusitis in childhood?
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Study Notes
Rhinosinusitis
- Appropriate treatment includes antibiotics, decongestants, intranasal steroids, antihistamines, and humidification
- First choice of antibiotics in acute rhinosinusitis: Penicillins
- Second choice of antibiotics in case of acute rhinosinusitis: Macrolides or 3rd generation cephalosporins
Allergic Rhinosinusitis
- Pathologies related to allergic rhinosinusitis: Bronchial asthma, Nasal polyps, Conjunctivitis, Immunodeficiency
- Symptoms to differentiate adenoiditis from rhinosinusitis: Snoring
- Medications best for decreasing sneezing and nose itching in allergic rhinitis: 1st generation antihistamines
- Prevalence of allergic rhinitis in society: 5-12% (according to WHO data)
- Method of choice in treatment of patients with persistent allergic rhinitis (mould, dust): Allergen avoidance and topical nasal steroids
Atrophic Rhinitis
- Most often associated with: Klebsiella
- Triad of symptoms: Anosmia, foul smell, atrophy
Vasomotor Rhinitis
- Argument that is not correct: IgE titer is elevated in case of VR
- Characteristics: Temporary in pregnant women, endocrine and vegetative nerve system disturbance, caused by strong smell or stressful situations
Endoscopic Sinus Surgery
- Not indicated for: Nasal septum deviation, Frequent use of nasal drops, High-stress level
Laryngeal Examination
- Methods: Indirect laryngoscopy, Stroboscopy
Chronic Rhinosinusitis
- Symptoms: Nasal cavity filled with nasal polyps, Impaired olfaction, Pain/pressure in the head, teeth
- Not a symptom: Vertigo
Laryngeal Cancer
- Method of choice in treatment of the first stage: Laser surgery or Radiation therapy
- Not a method of choice: Bilateral neck dissection
Bilateral Vocal Cord Paralysis
- Characteristics: Can be a life-threatening condition, could be iatrogenic after surgery on the thyroid gland
- Wrong statement: Patient usually is in good condition, shortness of breath is not typical
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