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Sinusitis (P)
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Course Curriculum
1. What is a potential adverse effect of prolonged nasal decongestant use?
*
Increased blood glucose
Cataracts
Rebound congestion
Dry mouth
2. Which complication is most concerning in a child with suspected sinusitis?
*
Conjunctivitis
Tonsillitis
Orbital cellulitis
Earwax impaction
3. Which class of medications may help relieve sinus congestion?
*
Statins
Beta-blockers
Topical steroids
Laxatives
4. Which bacteria is most commonly associated with acute bacterial sinusitis?
*
Mycobacterium tuberculosis
Streptococcus pneumoniae
Staphylococcus epidermidis
Escherichia coli
5. Given that most acute sinusitis cases are viral and self-limiting, when might antibiotics be considered?
*
Sneezing for 3 days
Severe symptoms or worsening after 10 days
Green nasal discharge alone
Sore throat without fever
6. Which sinus is most commonly affected in sinusitis?
*
Maxillary
Frontal
Ethmoid
Sphenoid
7. Which of the following is not typically a symptom of sinusitis?
*
Neck stiffness
Nasal congestion
Purulent nasal discharge
Facial tenderness
8. Which symptom is most characteristic of sinusitis?
*
Facial pain or pressure
Sore throat
Ear discharge
Blurred vision
9. What is acute sinusitis?
*
Inflammation of the paranasal sinuses
Bacterial infection of the maxilla sinuses only
Swelling of the vocal cords
Nasal bone fracture
10. What is a key preventative strategy for recurrent sinusitis?
*
Daily use of steroids
Routine use of antibiotics
Avoid dairy products
Treat underlying allergic rhinitis
11. Which symptom may suggest a complication of sinusitis?
*
Sneezing
Periorbital swelling
Rhinorrhoea
Dry mouth
12. Which symptom may persist after infection in post-viral sinusitis?
*
Night sweats
Severe epistaxis
Sharp chest pain
Persistent nasal congestion
13. What is the role of nasal saline irrigation in sinusitis?
*
Delivers antibiotics directly
Cures bacterial infection
Decongests blood vessels
Relieves symptoms by clearing mucus
14. What is the typical duration of acute sinusitis?
*
1 day
Less than 4 weeks
Over 3 months
6 months
15. What is the usual first-choice antibiotic for bacterial sinusitis in adults?
*
Trimethoprim
Clarithromycin
Ciprofloxacin
Phenoxymethylpenicillin
16. When are imaging studies typically recommended in sinusitis?
*
Always in acute cases
For all children
Only if complications or alternative diagnoses are suspected
After 3 days of symptoms
17. What is a red flag in a patient with sinusitis?
*
Post-nasal drip
Intermittent nasal congestion
Visual disturbance or periorbital oedema
Dry cough
18. Which of the following supports a bacterial cause of sinusitis?
*
Symptoms lasting more than 10 days
Clear nasal discharge
Intermittent headache
Sneezing
19. What is the first-line management for uncomplicated acute sinusitis?
*
CT scan
Supportive care and analgesia
Immediate antibiotics
Surgical drainage
20. Which factor increases the risk of developing sinusitis?
*
Vitamin D intake
Daily antihistamine use
Frequent tooth brushing
Recent upper respiratory tract infection