NEW NURS 6501 FINAL EXAM / NURS 6501 MIDTERM
EXAM (ALL IN ONE DOCUMENT) LATEST UPDATED
VERSION COMPLETE ACTUAL EXAMS REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS |GUARANTEED
PASS. WALDEN UNIVERSITY
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
-Dental abscess, gingivitis
-Lymph node palpation
, -Percussion of frontal, maxillary sinuses
-Eye exam (ophthalmoscope)
-Ear exam (otoscope)
When should you consider a facial CT when a patient presents with signs of sinusitis?
- ANSWER: -Recurrent bacterial sinusitis
-Orbital or soft tissue involvement
-Comborbidities (immunodeficiency, diabetes, labs)
-Facial trauma
Presentation of trigeminal neuralgia - ANSWER: Unilateral facial pain around the 5th
cranial nerve
Differential diagnosis for sinusitis presentation - ANSWER: -Common cold
-Dental abscess
-Trigeminal neuralgia
-Optic neuritis
-Meningitis
-Orbital cellulitis
-Allergic rhinitis
-Migraine or cluster HA
-Foreign body
-Tumor
-Nasal polyps
-Head injury
-Fungal infection
Treatment for sinusitis (symptom relief) - ANSWER: -Analgesics (NSAIDs,
acetaminophen)
-Saline nasal irrigation
-Antitussive (weak evidence)
-Mucolytics/expectorants (guaifenesin; thins mucus)
-Decongestants (3-5 days_
-Oxymetazoline
-Nasal steroid
-Hydration
-Rest
-Humidified air
When doing the "watchful waiting" approach for treating acute sinusitis, when you
should have patient follow to assess if antibiotics need to be started? - ANSWER:
after 7 days of no improvement with supportive therapy
Oxymeetazoline use for sinusitis - ANSWER: (Neo-Synnephrine)
-Decreases nasal congestion, edema
-Promotes drainage
EXAM (ALL IN ONE DOCUMENT) LATEST UPDATED
VERSION COMPLETE ACTUAL EXAMS REAL QUESTIONS
AND CORRECT VERIFIED ANSWERS |GUARANTEED
PASS. WALDEN UNIVERSITY
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
-Dental abscess, gingivitis
-Lymph node palpation
, -Percussion of frontal, maxillary sinuses
-Eye exam (ophthalmoscope)
-Ear exam (otoscope)
When should you consider a facial CT when a patient presents with signs of sinusitis?
- ANSWER: -Recurrent bacterial sinusitis
-Orbital or soft tissue involvement
-Comborbidities (immunodeficiency, diabetes, labs)
-Facial trauma
Presentation of trigeminal neuralgia - ANSWER: Unilateral facial pain around the 5th
cranial nerve
Differential diagnosis for sinusitis presentation - ANSWER: -Common cold
-Dental abscess
-Trigeminal neuralgia
-Optic neuritis
-Meningitis
-Orbital cellulitis
-Allergic rhinitis
-Migraine or cluster HA
-Foreign body
-Tumor
-Nasal polyps
-Head injury
-Fungal infection
Treatment for sinusitis (symptom relief) - ANSWER: -Analgesics (NSAIDs,
acetaminophen)
-Saline nasal irrigation
-Antitussive (weak evidence)
-Mucolytics/expectorants (guaifenesin; thins mucus)
-Decongestants (3-5 days_
-Oxymetazoline
-Nasal steroid
-Hydration
-Rest
-Humidified air
When doing the "watchful waiting" approach for treating acute sinusitis, when you
should have patient follow to assess if antibiotics need to be started? - ANSWER:
after 7 days of no improvement with supportive therapy
Oxymeetazoline use for sinusitis - ANSWER: (Neo-Synnephrine)
-Decreases nasal congestion, edema
-Promotes drainage
