Chapter 36 - Epistaxis

9 Questions | Total Attempts: 547

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Chapter 36 - Epistaxis

Bailey's Chapter 36


Questions and Answers
  • 1. 
    Epistaxis presenting in a delayed fashion after maxillofacial trauma should raisesuspicion for
    • A. 

      Undiagnosed nasal fracture

    • B. 

      Arterial aneurysm

    • C. 

      Continued traumatic insult to nasal mucosa

    • D. 

      Altered nasal airflow

    • E. 

      Bacterial infection

  • 2. 
    The most common familial bleeding disorder to consider in frequent, difficult-to-manage epistaxis is
    • A. 

      Hemophilia a

    • B. 

      Hemophilia b

    • C. 

      Von willebrand’s

    • D. 

      Thrombocytopenia

    • E. 

      Osler-weber-rendu

  • 3. 
    In managing epistaxis, posterior nasal packing
    • A. 

      Should be the 1st line therapy

    • B. 

      Should be avoided

    • C. 

      Should not be performed with anterior nasal packing

    • D. 

      Requires the pt to be monitored for hypoxia, apnea and arrhythmias

    • E. 

      May predispose to hypocarbia

  • 4. 
    Signs of fever, nausea/vomiting and diarrhea in the presence of nasal packing mayindicate
    • A. 

      TSS

    • B. 

      Strep infection

    • C. 

      Viral infection

    • D. 

      Contamination of the nasal packing

    • E. 

      Anaphylactic reaction to nasal packing

  • 5. 
    The most effective laser for treatment of telangiectasias in O-W-R disease is
    • A. 

      Nd:YAG

    • B. 

      CO2

    • C. 

      KTP

    • D. 

      Argon

    • E. 

      Pulse dye laser

  • 6. 
    The ICA supplies the nasal mucosa via the _______branches of the______artery
  • 7. 
    A patient on Coumadin presents with epistaxis. The site of bleeding is establishedand the patient is packed. INR is 4.5 What should be the next course ofmanagement?
    • A. 

      Hold Coumadin and give Vit K

    • B. 

      Hold Coumadin and give FFP

    • C. 

      Hold Coumadin and give FFP and Vit K

    • D. 

      Continue Coumadin

  • 8. 
    Elderly patient with recurrent and persistent epistaxis is taken to the OR forESPAL. Postoperatively, the patient continues to have epistaxis. The most likelyreason is
    • A. 

      Underlying blood disorder

    • B. 

      Anastomosis from the contralateral side

    • C. 

      Anastomosis with the ipsilateral side

    • D. 

      Not all branches were clipped/cauterized

  • 9. 
    .During ESS, profuse and rapid bleeding is encountered while opening theanterior ethmoidals superiorly. What artery was most likely encountered?
    • A. 

      Ophthalmic Artery

    • B. 

      Anterior Ethmoid A

    • C. 

      Posterior Ethmoid A

    • D. 

      SPA

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