ENT MCQ Quiz 32
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Which of these best describes "Acute " Rhinosinusitis based on duration of symptoms (based on recommendations of Rhinosinusitis Task Force)
< 7 days
< 14 days
7 days to <= 4 weeks
<= 4 weeks
4 weeks to <= 12 weeks
Which of these dosn't form a standard part of classification of rhinosinusitis (based on Rhinosinusitis task force and as mentioned in scott brown)
Recurrent acute sinusitis
All are standard classifications
Question 2 Explanation:
Recurrent acute is ">= 4 episodes of acute rhinosinusitis in one year"
Which of these is not a major symptom for chronic rhinosinusitis definition
Facial congestion / fullness
Hyposmia / anosmia
Facial pain / pressure
Question 3 Explanation:
Scott brown 7th edition, pg 1440
The most common bacteria leading to acute rhinosinusitis
Question 4 Explanation:
Streptococcus pneumoniae 20 - 43% (SB7 -1441)
Most common bacteria leading to chronic rhinosinusitis
Question 5 Explanation:
Staphylococcus species in 55% cases (SB7-1441)
Which of the following anatomic variants has been most closely linked with development of chronic rhinosinusitis
Nasal septal deflection
Agar nasii cells
Bifid middle turbinate
Question 6 Explanation:
OCNA - "Anatomic variants are another controversial area. Although anatomic variants are mentioned in the physical examination for rhinosinusitis , the role of variants in CRS has been challenged. With the possible exception of nasal septal deflection, anatomic variants do not seem to be significantly associated with CRS"
In modified Lund scoring system on CT for sinusitis, which of these cannot be given a score of "1"
Question 7 Explanation:
OM complex is scored either as "0" or "2". Rest can be scored 0,1 or 2
"Guafenesin" has been suggested to have a role in treatment of chronic rhinosinusitis by some researches. What is the mechanism.
Mast cell stabilizer
Leukotriene receptor antagonist
Which of these is the mechanism of action of macrolides in treatment of chronic rhinosinusits
Gram positive antibiotic effect
Anti inflammatory effect
All of the above
GERD as a possible etiology of development of chronic rhinosinusitis is more important in which age group
GERD cannot cause sinusitis
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