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What are the major functions of thenasal airways?

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What is the rate and direction of mucociliary transport in the nasal airways?

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What portion of the nasal turbinates hasthe greatest influence on nasal airways

resistance?

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At what nasal resistance will most subjectsexperience subjective nasal obstruction?

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What are the major clinical types of nasal obstruction?

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How is mucosal obstruction differentiatedfrom structural obstruction with

rhinomanometry?

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Unilateral purulent rhinitis in a 3-year-old boy is most likely due to…

a. cystic fibrosis

b. juvenile nasopharyngeal angiofibroma

c. foreign bodyd. allergy

e. unilateral choanal atresia

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According to Poiseuille’s law, the mostimportant factor in the production of nasal

obstruction is an aternation of the… a. pressure across the nasal passage

b. radius of the nasal passage

c. length of the nasal passaged. coefficient of the fluid air viscocity

e. nasal airflow rate

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Oil of wintergreen produces a “cold”sensation in the nose via the…

a. olfactory nerve

b. terminal nerve

c. sympathetic efferentsd. parasympathetic efferents

e. greater palatine nerve

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Vasomotor rhinitis is best managedwith the intermittent use of…

a. oxymetazoline

b. flunisolide

c. beclomethasoned. ipratropium bromide

e. cromolyn sodium

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Nasal obstruction from a 3-cm anteriorseptal perfoaration is most likely due to…

a. crusting

b. atrophic changes of the surroundingepithelium

c. resultant valvular collapse

d. intranasal turbulence

e. loss of dorsal support

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The diagnosis of unilateral choanalatresia is…

a. incompatible with life

b. often missed until adulthood

c. suggested by unilateral purulent rhinorrhead. an indication for immediate surgery

e. part of the TORCH syndrome

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The most common mucosal diseasethat produces nasal obstruction…

a. allergic rhinitis

b. acute bacterial sinusitis

c. vasomotor rhinitisd. viral rhinitis

e. rhinitis medicamentosa

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Rhinitis medicamentosa is due to theabuse of intranasal..

a. oxymetazoline HCl

b. cocaine HCl

c. ephedrined. beclomethasone dipropionate

e. ipratropium dipropionate

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Treatment of severe sinonasal polyposis isbest accomplished by first carrying out…

a. medical treatment with a intraburbinal injectionof corticosteroid

b. surgical excision of all polypoid tissue in apolypectomy procedurre

c. medical treatment with the use of ipratropiumbromide nasal spray

d. surgical debulking of the turbinates in aturbinates in a turbinectomy procedure

e. medical treatment with a high burst and rapidtaper of systemic oral prednisone