ENT: PRACTICE 9

MULTIPLE CHOICE QUESTIONS SERIES

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

 

1.        Clinical features of acute sinusitis include:
   a.       Patients usually give a history of having had common cold
   b.      The sense of smell is sharper
   c.       Feeling of a sense of fullness in the cheek on bending forward
   d.      Waking up in the morning with headache
   e.      Fever is a usual finding
   2.       Features of acute frontal sinusitis include:
   a.       Exquisite pain on pressure over the sinus
   b.      Oedema of the upper eyelid
   c.       Headache over the affected sinus
   d.      Photophobia
   e.      None of the above
   3.       The following are features of acute maxillary sinusitis except:
   a.       Redness and oedema of the cheek in children
   b.      Tenderness on tapping over the anterior wall of the antrum
   c.       Mucopurulent discharge on the inferior meatus of the nose
   d.      Postnasal discharge of pus
   e.      Pains usually in the contralateral supra-orbital region
   4.       The commonest form of paranasal sinusitis in infants and children is:
   a.       Maxillary sinusitis
   b.      Ethmoid sinusitis
   c.       Sphenoid sinusitis
   d.      Frontal sinusitis
   e.      All of the above
   5.       Concerning acute ethmoidal sinusitis:
   a.       There are pains over the bridge of the nose.
   b.      Office headache is a usual feature
   c.       There is swelling of the middle turbinate
   d.      It usually occur as an isolated sinus infection
   e.      Lacrimation and nasal discharge are not recognized clinical presentation
   6.       Which of the following statements is/are inappropriate:
   a.       Isolated acute sphenoid sinusitis is common
   b.      In acute sphenoid sinusitis, the patients present with headache localized to the occipput or vertex
   c.       Pains in the mastoid and temporal regions may occur in acute sphenoid sinusitis
   d.      Patients with acute ethmoid sinusitis may present with puffy eyelids
   e.      Acute frontal sinusitis usually follow viral infection of the upper respiratory tract
   7.       Usually, the most common presenting feature of chronic sinusitis is:
   a.       Office headache
   b.      Exquisite pains over the affected sinus
   c.       Purulent nasal discharge
   d.      Anosmia
   e.      Fever
   8.       Treatment options for chronic maxillary sinusitis does not include:
   a.       Trephination
   b.      Intranasal antrostomy
   c.       Caldwell-Luc operation
   d.      Howarth’s operation
   e.      Antral puncture and irrigation
   9.       Concerning fungal sinusitis:
   a.       The common aetiologies are Aspergillus, Alternaria, Mucor and Rhizopus
   b.      Charcot-Leyden crystals are seen in all forms
   c.       It may be due to allergic reaction to the causative fungus
   d.      CT-SCAN is unnecessary when investigating fungal ball
   e.      Fulminant fungal sinusitis may be seen in the immunocompromised
   10.   The following paranasal sinus infection are matched with usual presentation:
   a.       Acute maxillary sinusitis...........................office headache
   b.      Acute frontal sinusitis...............................frontal headache
   c.       Acute ethmoidal sinusitis..........................headache localized to the occiput or vertex.
   d.      Acute sphenoid sinusitis...........................pains on the bridge of the nose
   e.      Acute ethmoidal sinusitis .........................pains between and behind the eyes
   
   
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