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Clin Med HEENT Nose & Sinus exam questions & answers 2024/2025 $7.99   Add to cart

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Clin Med HEENT Nose & Sinus exam questions & answers 2024/2025

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Clin Med HEENT Nose & Sinus exam questions & answers 2024/2025 24 yo female presents with 3 days of clear rhinorrhea, nasal congestion, hyposmia, cough, and sore throat. On exam, you note erythematous and engorged nasal mucosa and a low grade fever, but no intranasal purulence. Most likely Dx?...

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  • October 6, 2024
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  • 2024/2025
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  • Clin Med HEENT Nose & Sinus
  • Clin Med HEENT Nose & Sinus
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wanjejer1900
Clin Med HEENT Nose & Sinus exam
questions & answers 2024/2025

24 yo female presents with 3 days of clear rhinorrhea, nasal congestion, hyposmia, cough, and sore
throat. On exam, you note erythematous and engorged nasal mucosa and a low grade fever, but no
intranasal purulence. Most likely Dx? Tx? - ANSWERSCommon Cold (Viral URI)



No abx!

Tx: Supportive Care

nasal saline

oral decongestants

analgesics

Nasal sprays (oxymetazoline, phenylephrine)



For more significant sx:

nasal steroids (fluticasone)

nasal anticholinergic (ipratropium)

oral steroid taper (prednisone)



28 yo male presents with abrupt fever that started 2 days ago, with myalgias, chills, malaise, HA, and
nasal congestion. On exam, pt has coryza, nonproductive cough, pharyngeal injection, and flushed facies.
Most likely dx? Tx? - ANSWERSInfluenza



Tx: Neuraminidase inhibitors (Zanamivir inhalation, oral oseltamivir - tamiflu)



17 yo male with 3 days of rhinorrhea, nasal congestion, itchy and watery eyes, and sneezing. He reports
hx of similar episodes for the last few years during the spring time. On exam, you note boggy nasal
mucosa, rhinorrhea, lacrimation, and allergic shiners. Dx? Tx? - ANSWERSAllergic Rhinitis

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