MDC 3 EXAM2 COMPREHENSIVE SCRIPT
COMPLETE SOLVED QUESTIONS AND
ANSWERS
◉ OSA interferes with
Answer: good rest
memory
learning
decision making
◉ osa risk factors
Answer: obesity
male
postmenopausal women
advanced age
larger neck circumference
increased peripharyngeal fat
◉ osa manifestations
Answer: loud snoring
breathing cessation for 10+ seconds at least 5 episodes per hour
awakened aburptly with a loud snort
,low o2
◉ osa treatment
Answer: weight loss
no alcohol
positional therapy (no back sleeping)
oral applicances
CPAP
BiPAP
Surgery
-Tonsillectomy
‒ Uvulopalatopharyngoplasty
‒ Nasal septoplasty
‒ Maxillomandibular surgery
◉ epistaxis
Answer: nose bleed, most commonly from anterior septum
◉ epistaxis risk factors
Answer: infection
dry nasal mucosa
inhalants
trauma
,arteriosclerosis, HTN
tumor
thrombocytopenia
liver disease
use of aspirin
◉ epistaxis treatment
Answer: direct pressure
nasal decongestants
cauterizations
cotton tamopon
balloon inflated catheter
◉ epistaxis education
Answer: to stop bleeding, pinch the soft outer portion of the nose
and tilt head forward
avoid vigorous exercise for a few days
avoid hot or spicy foods
avoid tobacco
avoid forceful nose blowing
ensure adequate humidification
◉ nasal obstruction caused by
Answer: nasal septum
, hypertrophy of the turbinate bones
pressure of nasal polyps
◉ strep left untreated at risk of
Answer: acute glomernephritis
◉ nasal obstruction manifestations
Answer: chronic nasal congestion
dryness of oral mucosa
sleep deprivation
chronic infections
◉ nasal obstruction treatment
Answer: removal of the obstruction
meds- nasal corticosteroids, oral leukotriene inhibiotors,
antibiotics, antihistamines
surgery- surgical reduction, functional rhinoplast
◉ nasal obstruction post op education
Answer: frequent oral hygiene
elevate HOB
avoid blowing the nose forcefully
◉ nasal fracture manifestations
COMPLETE SOLVED QUESTIONS AND
ANSWERS
◉ OSA interferes with
Answer: good rest
memory
learning
decision making
◉ osa risk factors
Answer: obesity
male
postmenopausal women
advanced age
larger neck circumference
increased peripharyngeal fat
◉ osa manifestations
Answer: loud snoring
breathing cessation for 10+ seconds at least 5 episodes per hour
awakened aburptly with a loud snort
,low o2
◉ osa treatment
Answer: weight loss
no alcohol
positional therapy (no back sleeping)
oral applicances
CPAP
BiPAP
Surgery
-Tonsillectomy
‒ Uvulopalatopharyngoplasty
‒ Nasal septoplasty
‒ Maxillomandibular surgery
◉ epistaxis
Answer: nose bleed, most commonly from anterior septum
◉ epistaxis risk factors
Answer: infection
dry nasal mucosa
inhalants
trauma
,arteriosclerosis, HTN
tumor
thrombocytopenia
liver disease
use of aspirin
◉ epistaxis treatment
Answer: direct pressure
nasal decongestants
cauterizations
cotton tamopon
balloon inflated catheter
◉ epistaxis education
Answer: to stop bleeding, pinch the soft outer portion of the nose
and tilt head forward
avoid vigorous exercise for a few days
avoid hot or spicy foods
avoid tobacco
avoid forceful nose blowing
ensure adequate humidification
◉ nasal obstruction caused by
Answer: nasal septum
, hypertrophy of the turbinate bones
pressure of nasal polyps
◉ strep left untreated at risk of
Answer: acute glomernephritis
◉ nasal obstruction manifestations
Answer: chronic nasal congestion
dryness of oral mucosa
sleep deprivation
chronic infections
◉ nasal obstruction treatment
Answer: removal of the obstruction
meds- nasal corticosteroids, oral leukotriene inhibiotors,
antibiotics, antihistamines
surgery- surgical reduction, functional rhinoplast
◉ nasal obstruction post op education
Answer: frequent oral hygiene
elevate HOB
avoid blowing the nose forcefully
◉ nasal fracture manifestations