EARS, EYES, NOSE, THROAT (EENT) - APEA QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
Acute Rhinosinusitis - (ANSWER)*inflammation of the paranasal sinuses*
can be infectious or non-infectious
most common cause of acute rhinosinusitis - (ANSWER)viruses
Common causes of acute rhinosinusitis (infectious) - (ANSWER)-viruses*
-bacteria (< 2%)
-fungal (rare)
Common causes of acute rhinosinusitis (non-infectious) - (ANSWER)-allergies
-irritants
-dry air
-GERD
symptoms of acute rhinosinusitis - (ANSWER)-nasal congestion
-*purulent* nasal discharge
-facial pain/pressure, worse with bending forward
-maxillary tooth pain
-nonspecific symptoms- fatigue, fever, cough, etc.
physical exam of acute rhinosinusitis - (ANSWER)-maxillary teeth and sinus tenderness (palpation or
bending forward)
-swelling, redness, and copious discharge in nasal passages
-opacity of maxillary/frontal sinuses
,EARS, EYES, NOSE, THROAT (EENT) - APEA QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
Acute Viral Rhinosinusitis - (ANSWER)-caused by the "common cold"
-self-limited, resolves in 7-10 days (peak @ 3-6 days)
-**symptom management, ONLY**
how do we treat acute viral rhinosinusitis - (ANSWER)symptomatic treatment, only !
examples of symptomatic management of acute viral rhinosinusitis - (ANSWER)-saline irrigation: may
offer comfort/symptom relief. only sterile or bottled water.
-intranasal glucocorticoids: may have small benefit w/ minimal adverse effects. helpful if co-morbid
allergic rhinitis is present.
-mucolytics: guaifenesin, thins secretions to promote mucous drainage.
-antihistamines: co-morbid allergic rhinitis; may cause over-drying of mucosa, which can cause
complications.
-decongestants: useful if eustacian tube disorder is present
A patient presents with c/o nasal congestion, green nasal discharge, cough, and facial pain/pressure x2
days. What do you suspect and how do you treat them? - (ANSWER)acute rhinosinusitis is suspect -->
symptomatic treatment is recommended
How do we diagnose bacterial vs. viral acute rhinosinusitis? - (ANSWER)-symptoms are persistent, lasting
> 10 days
-symptoms improve, then worsen again
, EARS, EYES, NOSE, THROAT (EENT) - APEA QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
-severe symptoms from onset, lasting at least 3 days
common pathogens that can cause acute bacterial rhinosinusitis - (ANSWER)-streptococcus pneumoniae
(higher risk for severe complications)
-haemophiles influenzae
-moraxella catarhalis
first line treatment for acute bacterial rhinosinusitis - (ANSWER)amoxicillin or amoxicillin/clavulanate for
5-7 days
treatment options for acute bacterial rhinosinusitis - (ANSWER)**amoxicillin or augmentin x5-7 days**
-recent antibiotic exposure --> give high dose amoxicillin/clavulanate ER (2000/125 mg BID)
-PCN allergy: doxycycline or 3rd gen cephalosporin
A patient presents with c/o nasal congestion, green nasal discharge, cough, and facial pain/pressure x8
days. She reports it got better, then worsened again. What do you suspect and how do you treat them? -
(ANSWER)acute bacterial rhinosinisitis is suspected --> treated with Amoxicillin or
Amoxicillin/Clavulanate x5-7 days
If that patient diagnosed with acute bacterial rhinosinusitis has a PCN allergy, what do we treat them
with? - (ANSWER)Doxycycline or a 3rd generation cephalosporin
A patient complains of sneezing, postnasal drip, and nasal congestion. Considering the most likely
diagnosis, what other findings does the nurse practitioner (NP) expect? - (ANSWER)-boggy, gray nasal
turbinates
-cobbelstoning of the posterior pharynx
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
Acute Rhinosinusitis - (ANSWER)*inflammation of the paranasal sinuses*
can be infectious or non-infectious
most common cause of acute rhinosinusitis - (ANSWER)viruses
Common causes of acute rhinosinusitis (infectious) - (ANSWER)-viruses*
-bacteria (< 2%)
-fungal (rare)
Common causes of acute rhinosinusitis (non-infectious) - (ANSWER)-allergies
-irritants
-dry air
-GERD
symptoms of acute rhinosinusitis - (ANSWER)-nasal congestion
-*purulent* nasal discharge
-facial pain/pressure, worse with bending forward
-maxillary tooth pain
-nonspecific symptoms- fatigue, fever, cough, etc.
physical exam of acute rhinosinusitis - (ANSWER)-maxillary teeth and sinus tenderness (palpation or
bending forward)
-swelling, redness, and copious discharge in nasal passages
-opacity of maxillary/frontal sinuses
,EARS, EYES, NOSE, THROAT (EENT) - APEA QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
Acute Viral Rhinosinusitis - (ANSWER)-caused by the "common cold"
-self-limited, resolves in 7-10 days (peak @ 3-6 days)
-**symptom management, ONLY**
how do we treat acute viral rhinosinusitis - (ANSWER)symptomatic treatment, only !
examples of symptomatic management of acute viral rhinosinusitis - (ANSWER)-saline irrigation: may
offer comfort/symptom relief. only sterile or bottled water.
-intranasal glucocorticoids: may have small benefit w/ minimal adverse effects. helpful if co-morbid
allergic rhinitis is present.
-mucolytics: guaifenesin, thins secretions to promote mucous drainage.
-antihistamines: co-morbid allergic rhinitis; may cause over-drying of mucosa, which can cause
complications.
-decongestants: useful if eustacian tube disorder is present
A patient presents with c/o nasal congestion, green nasal discharge, cough, and facial pain/pressure x2
days. What do you suspect and how do you treat them? - (ANSWER)acute rhinosinusitis is suspect -->
symptomatic treatment is recommended
How do we diagnose bacterial vs. viral acute rhinosinusitis? - (ANSWER)-symptoms are persistent, lasting
> 10 days
-symptoms improve, then worsen again
, EARS, EYES, NOSE, THROAT (EENT) - APEA QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS ALREADY
GRADED A+
-severe symptoms from onset, lasting at least 3 days
common pathogens that can cause acute bacterial rhinosinusitis - (ANSWER)-streptococcus pneumoniae
(higher risk for severe complications)
-haemophiles influenzae
-moraxella catarhalis
first line treatment for acute bacterial rhinosinusitis - (ANSWER)amoxicillin or amoxicillin/clavulanate for
5-7 days
treatment options for acute bacterial rhinosinusitis - (ANSWER)**amoxicillin or augmentin x5-7 days**
-recent antibiotic exposure --> give high dose amoxicillin/clavulanate ER (2000/125 mg BID)
-PCN allergy: doxycycline or 3rd gen cephalosporin
A patient presents with c/o nasal congestion, green nasal discharge, cough, and facial pain/pressure x8
days. She reports it got better, then worsened again. What do you suspect and how do you treat them? -
(ANSWER)acute bacterial rhinosinisitis is suspected --> treated with Amoxicillin or
Amoxicillin/Clavulanate x5-7 days
If that patient diagnosed with acute bacterial rhinosinusitis has a PCN allergy, what do we treat them
with? - (ANSWER)Doxycycline or a 3rd generation cephalosporin
A patient complains of sneezing, postnasal drip, and nasal congestion. Considering the most likely
diagnosis, what other findings does the nurse practitioner (NP) expect? - (ANSWER)-boggy, gray nasal
turbinates
-cobbelstoning of the posterior pharynx
