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Test 6: Upper respiratory tract conditions

  1. The upper respiratory tract includes the:
    • Larynx.
    • Bronchi.
    • Pharynx.
    • Trachea.
  2. The cause of a common cold is usually an infection with:
    • Influenza virus.
    • Rhinovirus.
    • Haemophilus influenzae.
    • Streptococcus.
  3. Children with a common cold usually have:
    • A high fever.
    • A runny nose.
    • A sore throat.
    • Earache.
  4. How should a young child with a common cold be treated?
    • Antibiotics.
    • Keep the child in bed.
    • Aspirin.
    • No treatment is usually needed.
  5. Acute sinusitis usually presents with:
    • A feeling of fullness or pain over one of the sinuses.
    • A severe cough, especially when sitting up.
    • A purulent discharge from both ears.
    • Tenderness to pressure over the mastoid bone.
  6. What is a common sign of allergic rhinitis?
    • Coughing at night.
    • Repeated sneezing.
    • Wheezing.
    • Green nasal discharge.
  7. Seasonal rhinitis is commonly caused by:
    • Inhaled pollen.
    • Viral infections.
    • Sudden change in temperature.
    • House dust mite.
  8. Allergic rhinitis should be treated with:
    • A short acting bronchodilator.
    • Excluding milk and wheat from the diet.
    • Amoxycillin for 10 days.
    • A non-sedating oral antihistamine drug.
  9. Persistent rhinitis responds well to:
    • Decongestant nose drops.
    • Paracetamol.
    • Steroid nasal spray.
    • Antibiotics.
  10. What is the common presenting symptom of pharyngitis?
    • Sneezing.
    • A sore throat.
    • A blocked nose.
    • A hoarse voice.
  11. What is an important complication of pharyngitis?
    • Acute rheumatic fever.
    • Rheumatoid arthritis.
    • Pneumonia.
    • Meningitis.
  12. How should a child with tonsillitis be treated?
    • Give paracetamol only unless the throat culture is positive.
    • Tonsillectomy if this is the second attack of tonsillitis in the past year.
    • Penicillin, amoxycillin or erythromycin for 10 days.
    • Tetracycline for 14 days.
  13. What is an indication for adenoidectomy?
    • Bad breath and poor appetite.
    • Snoring and sleep apnoea.
    • Repeated sore throats.
    • Enlarged tonsils.
  14. Acute otitis media usually presents with:
    • Sudden onset of severe pain in the ear (earache).
    • Pain when the pinna (external ear) is pulled.
    • Green discharge from the nose.
    • Deafness.
  15. Regular cleaning with a cotton bud or ‘wicking’ is useful in treating:
    • Chronic suppurative otitis media.
    • Chronic secretory otitis media.
    • Sinusitis.
    • Mastoiditis.
  16. Chronic secretory otitis media causes:
    • A purulent discharge from the ear.
    • Earache and fever.
    • Deafness.
    • Itching of the ear.
  17. Otitis externa should be treated with:
    • Combined steroid and antibiotic eardrops.
    • Oral antibiotics.
    • Oral steroids.
    • Cotton wool earplugs.
  18. Epiglottitis presents with:
    • Wheezing.
    • Drooling and difficulty swallowing.
    • A mild fever and cough.
    • A barking cough and stridor.
  19. How should a child with epiglottitis be managed?
    • Urgent referral to hospital.
    • Paracetamol for pain.
    • Penicillin for 7 days.
    • Immunisation with Hib.
  20. Immunisation can prevent:
    • The common cold.
    • Pharyngitis.
    • Otitis media.
    • Epiglottitis.