Deck 74: Sinusitis

Question 1

A patient presenting with nasal congestion, fever, purulent nasal discharge, headache, and facial pain begins treatment with amoxicillin-clavulanate. At a follow-up visit 10 days after initiation of treatment, the patient continues to have purulent discharge, congestion, and facial pain without fever. What is the next course of action for this patient?

A) A CT scan of the paranasal sinuses
B) A referral to an otolaryngologist
C) An antibiotic based on likely resistant organism
D) A trial of azithromycin

Answer 1

C

Question 2

Which are potential complications of chronic or recurrent sinusitis? (Select all that apply.)

A) Allergic rhinitis
B) Asthma
C) Meningitis
D) Orbital infection
E) Osteomyelitis

Answer 2

C, D, E

Question 3

A patient with allergic rhinitis develops acute sinusitis and begins treatment with an antibiotic. Which measure may help with symptomatic relief for patients with underlying allergic rhinitis?

A) Intranasal steroids
B) Oral mucolytics
C) Saline solution rinses
D) Topical decongestants

Answer 3

A