ENT: PRACTICE 7

MULTIPLE CHOICE QUESTIONS SERIES

 INSTRUCTION: WRITE T (TRUE) OR F(FALSE) AGAINST THE OPTIONS IN EACH QUESTION

   

1.        Concerning acute sinusitis:
   a.       The frontal sinus is the most commonly affected
   b.      A closed sinusitis causes less severe symptoms than open sinusitis
   c.       It may follow tooth extraction
   d.      Swimming and diving are predisposing factors
   e.      It is usually uncommon during cold and wet climate
   2.       Usual general management measures in the treatment of acute sinusitis include:
   a.       Bed rest in a room with even temperature and humidity
   b.      Brushing the teeth after every meal  
   c.       Steam inhalation for small children
   d.      Using tissue papers for blowing the nose
   e.      Taking small volumes of fluids per day
   3.       Concerning acute maxillary sinusitis:
   a.       In the usual pathogenesis, viruses invade after bacterial invasion
   b.      Dental infection is an unusual source of maxillary sinusitis
   c.       Patients present with headache situated over the forehead.
   d.      Pains in the upper jaw radiating to the gums or teeth is an atypical complain
   e.      Affected sinus is translucent on trans-illumination test.
   4.       Investigations of acute sinusitis does not include:
   a.       Culture of nasal swab
   b.      Radiology
   c.       Full blood count
   d.      Blood culture
   e.      All of the above
   5.       The following are implicated in causing nasal stuffiness except:
   a.       Cosmetics
   b.      Sexual frustration
   c.       Tobacco
   d.      Vasomotor rhinitis
   e.      Fungal spores and pollens
   6.       Concerning the paranasal sinuses:
   a.       Purulent epiphora may occur in ethmoiditis
   b.      Frontal sinusitis may follow swimming or flying when the patient has cold
   c.       Patients with maxillary sinusitis usually give a history of tooth ache treatment of dental caries
   d.      Patients with sphenoiditis usually experience marked nasal obstruction
   e.      Osteomyelitis of the frontal as extension of frontal sinusitis is not usually seen children less than seven years of age.
   7.       The following are usual findings on X-ray of a patient with acute maxillary sinusitis:
   a.       Fluid level
   b.      Hyperintensity
   c.       Hyperechoic areas
   d.      Opacity
   e.      Bullae
   8.       The following are usually beneficial in the treatment of acute maxillary sinusitis:
   a.       Analgesics and antimicrobials
   b.      1% ephedrine
   c.       Antral lavage
   d.      Menthol steam inhalation
   e.      Hot fomentation
   9.       “office headache” is a usual feature of:
   a.       Acute maxillary sinusitis
   b.      Acute ethmoidal sinusitis
   c.       Acute frontal sinusitis
   d.      Acute sphenoidal sinusitis
   e.      Tabes dorsalis
   10.   The following are treatment options for acute frontal sinusitis except:
   a.       Trephination
   b.      Antibiotics
   c.       Antral lavage
   d.      1% ephedrine
   e.      None of the above
   
   
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