Chapter·ENTRhinology

Invasive Fungal SinusitisDownloads

10Questions
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Sample Questions

1

A 27-year-old intravenous drug user presents with difficulty swallowing. Examination of the oropharynx reveals white plaques along the tongue and the oral mucosa. Which of the following best describes the microscopic appearance of the microorganism responsible for this patient's illness?

ABudding yeast and pseudohyphae

BEncapsulated yeast

CMold with nonseptate hyphae

DMold with septate hyphae

2

A 30-year-old man presents with a 6-month history of nasal discharge, facial pain, and fever. On antibiotic therapy, the fever subsides. After 1 month, he again experiences symptoms of mucopurulent discharge from the middle meatus, and the mucosa of the meatus appears congested and oedematous. The next best investigation would be:

AMRI of the sinuses

BNon-Contrast CT of the nose and para-nasal sinuses

CPlain x-ray of the para-nasal sinuses

DInferior meatus puncture

3

A patient with a recent upper respiratory infection develops facial pain and tenderness over the maxillary sinuses. What is the most appropriate initial treatment?

AAmoxicillin-clavulanate

BCorticosteroid

CAntihistamine

DTopical decongestant

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