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Week 3-NURS 6501 with complete verified solutions .
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Week 3-NURS 6501 with complete verified solutions .
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Week 3-NURS 6501 withcomplete verified solutions
2025-2026
Classification of acute sinusitis - answer Symptoms < 4 week
Classification of subacute sinusitis - answer Symptoms 4-12 weeks
Classification of chronic sinusitis - answer Symptoms > 12 weeks
Classification of recurrent sinusitis - answer 3+ events/year without
symptoms in between and last < 2 weeks
What percentage of cases of sinusitis receive antibiotics? How many cases
recover on their own without antibiotics? - answer 80%
70%
What is an uncomplicated sinusitis? - answer No clinical evidence of
extension of infection outside of paranasal sinuses and nasal cavity
without neurological, ophthalmologic, or soft tissue involvement
What is the most common site of sinusitis? - answer maxillary sinuses
(largest sinuses)
Risk factors of sinusitis - answer -History of allergic rhinitis
-History of asthma, CF, chronic respiratory syndrome
-First or 2nd hand cigarette smoke
-Small nasal passages
Common viral causes of sinusitis - answer -Influenza
,-Rhinovirus
-Parainfluenza
-RSV
-Adenovirus
Common bacterial causes of sinusitis - answer -Strep pneumonia
-H flu
-Moraxella catarrhalis
-Staph aureus
Fungal sinusitis is ________ and typically seen in _______________ - answer Rare
Immunosuppressed patients
Symptoms of acute rhinosinusitis - answer -Purulent anterior nasal dx
-Purulent or discolored posterior nasal discharge
-Nasal congestion or obstruction
-Facial congestion, fullness
-Hyposmia, anosmia
-Fever
-HA
-Ear pain, pressure, fullness
-Halitosis
-Dental pain
-Fatigue
3 cardinal symptoms of bacterial sinusitis - answer 1) Mucopurulent
discharge
2) Nasal obstruction
3) Facial pain, pressure
, 4 cardinal symptoms of chronic sinusitis - answer 1) Mucopurulent
discharge
2) Nasal obstruction
3) Facial pain, pressure
4) Decreased or loss of smell > 12 weeks
Infectious Disease Society of American (IDSA) classification of bacterial
sinusitis - answer -4 weeks of purulent nasal discharge with nasal
obstruction
-Facial pain for 3 days
Clinical presentation of bacterial sinusitis - answer -Fever > 101.5-102F
-Duration > 10 days
-Severe HA
-Skin infection
-Purulent nasal discharge > 4 weeks
-Facial pain/pressure/fullness/dental pain (no improvement for 10 days)
-Decreased smell
-Cough
-Fatigue
-Ear pain
Important PMH to illicit when assessing a patient presenting with sinusitis
- answer -History of sinus infection
-History of nasal polyps
-Recent head injury
Sinusitis PE - answer -VS, recent fevers?
-Allergic shinier, periorbital edema
-Nasal edema, erythema, discharge, septal deviation, polyps
-Throat PND, erythema, lymphoid hypertrophy
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