upper resp disorders

Question 1

treatment for deviated septum

Answer 1

septoplasty

inhaled corticosteroids

Question 2

how to test for CSF with nosebleed/drainage

Answer 2

• test for glucose

- “halo sign”

Question 3

whats important to remember for pts who are having rhinoplasty

Answer 3

-no ASA/NSAIDS for 2 weeks before or several days after

Question 4

treatment epistaxis

Answer 4

pinch and lean forward

packing

Question 5

reversal agent for opioid overdose

Answer 5

naloxone

Question 6

where would you find bruising with nasal fracture that could be indicative of trauma to brain

Answer 6

bruising around eyes

bruising behind ears

Question 7

meds for allergic rhinitis (5)

Answer 7

• antihistamines (benadryl, zyrtec)
• inhaled corticosteroids (fluticasone)
• anticholinergic nasal spray
• decongestants
• LTRA (montelukast)

Question 8

what kind of drainage may be seen with acute viral rhinitis

Answer 8

purulent drainage

Question 9

contraindications to nasal flu vaccine (2)

Answer 9

• immunocompromised

- less than 2 yo

Question 10

important S+S for influenza

Answer 10

sudden onset

Question 11

S+S cold (4)

Answer 11

• sneezing
• runny nose
• sort throat
• some cough

Question 12

S+S flu (6)

Answer 12

• headache
• sudden fever
• severe aches and pains
• severe cough
• chest discomfort
• extreme fatigue

Question 13

S+S sinusitis caused by bacterial infection (4)

Answer 13

• purulent runny nose
• facial pain
• fevere
• little to no drainage

Question 14

what kind of drainage is seen with common cold

Answer 14

catarrhal

Question 15

1st line antibiotic for sinusitis

Answer 15

augmentin

Question 16

S+S acute pharyngitis (4)

Answer 16

• sore throat
• redness
• swelling of tonsils
• children have rash

Question 17

treatment for bacterial acute pharyngitis

Answer 17

amoxycillin

Question 18

whats the difference S+S between viral and bacterial acute pharyngitis

Answer 18

viral has cough

Question 19

treatment OSA (4)

Answer 19

• sleep on side
• elevate hob
• CPAP
• avoid sedatives and alcohol before bed

Question 20

S+S head and neck cancer (6)

Answer 20

• plaques on teeth
• ulcers that don’t heal
• pain
• white/red patch
• pain with swallowing
• changes in voice