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28 Cards in this Set
- Front
- Back
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Obstruction, being the major complaint of nasal conditions, usually occurs in what area?
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Middle meatus
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Bloody discharge may indicate what conditions?
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Neoplasm
Trauma Fungal infection |
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A foul smelling discharge may indicate what conditions?
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Chronic sinusitis
Foreign object Malignant disease |
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If clear watery discharge increases with coughing or bending head forward, it may be what?
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CSF
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How far should you insert the speculum into the vestibule?
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1 cm
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What is the order of the nasal exam?
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1. External inspection
2. Palpation 3. Olfactory 4. Internal exam |
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What is the order of the sinus exam?
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1. External inspection
2. Palpation 3. Percussion 4. Transillumination |
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The most common cause of anosmia.
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Polyps
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What is the difference between polyps and turbinates?
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Polyps - pale, translucent, moveable
Turbinate - round, light pink, rigid |
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Possible causes of acute rhinitis.
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Stress, nasal spray abuse, pregnancy, hyperthyroidism
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Is acute rhinitis seasonal or non-seasonal?
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Non-seasonal
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What are the 4 cranial / facial sinuses and how are they evaluated?
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Frontal - physical exam
Maxillary - physical exam Ethmoid - Xray Sphenoid - Xray |
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The anterior ethmoid, frontal, and maxillary sinuses drain into which meatus?
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Middle meatus
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The posterior ethmoid sinus drains into which meatus?
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Superior meatus
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The nasal-lacrimal duct drains into which meatus?
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Inferior meatus
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Which sinus might present localized pain behind the eye?
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Maxillary
(also cheeks, nose, upper teeth and upper lip) |
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The ethmoid sinus might present localized pain where?
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Periorbital
Retronasal Retrobulbar |
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Which sinus might present localized pain supraorbitally?
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Frontal
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Which sinus might present referred pain as a bitemporal and occipital headache?
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Frontal
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Which sinus might present referred pain to the upper cervical and occipital area?
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Ethmoid
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Profuse bleeding from the nose.
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Epistaxis
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Possible causes of epistaxis.
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Trauma, sinus malignancy, dry heat, chronic sinusitis, cocaine abuse
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Which sinus might refer pain to the teeth and retrobulbar?
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Maxillary
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Disease of this sinus may present ocular abnormalities, epistaxis, epiphora, and loosening of the teeth.
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Maxillary
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Disease of this sinus may present orbital swelling and tenderness over the inner canthus of the eye, etc.
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Ethmoid
(also presents ocular abnormalities similar to a Maxillary disease) |
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Disease of this sinus may present pus in the middle meatus, signs of meningitis, etc.
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Frontal
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Transillumination of this sinus is done from the medial aspect of the supraorbital rim.
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Frontal
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Transillumination of the sinus is done laterally to the nose below the medial aspect of the eye.
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Maxillary
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