1.

The creation of a middle meatus antrostomy includes removal of:

a. Anterior pole of midlle turbinate
b. Inferior concha bone
c. Uncinate process
d. Agger nasi

2. What is the most common complication of acute sinusitis?

a. Meningitis
b. Orbital subperiosteal abscess
c. Pott’s puffy tumor
d. Subdural abscess
e. Epidural abscess

3. A teenage patient seen in your office has a runny nose, sneezing, and tired-looking eyes on
examination. When questioned, he reports that his grades at school have dropped off, and he
“always feels tired.” He reports that the symptoms have been constant “for about the last 5
months, and they are worse in the sprin.” According to the 2008 ARIA (the Allergic Rhinitis and its
Impact on Asthma) guidelines, what classification of allergic rhinitis would this patient have?
a. Moderate/severe seasonal
b. Mild intermittent
c. Mild seasonal
d. Moderate/severe persistent
e. Moderate/severe intermittent

4. Which of the following classes of medications are effective for chronic rhinosinusitis with nasal
polyps, as demonstrated by multiple randomized placebo-controlled trials?
a. Nasal steroid spray
b. Antibiotics
c. Montelukast
d. Guaifenesin

5. Which sphenoid pneumatization pattern is the most common?

a. Choncal
b. Presellar
c. Sellar
d. Onodi cell

6. Which of these branching patterns does the most recent classification of chronic rhinisinusitis
(CRS) use?
a. Eosinophilic vs noneosinophilic, then polypoid vs nonpolypoid
b. Polypoid vs nonpolypoid, then eosinophilic vs noneosinophilic
c. Polypoid vs nonpolypoid, then neuttrophilic vs nonneutrophilic
d. Neutrophilic vs noneutrophilic, then polypoid vs nonpolypoid

7. Which of the following methods is most commonly used to make the diagnosis of nasal polyp
disease?
a. Biposy
b. MR imaging
 c. History and examination
d. Flow cytometry

8. A type 4 frontoethmoidal cell is defined as:

a. A singlle cell above the agger nasi cell
b. A tier of cells above the agger nasi cell not extending above the frontal beak
c. A tier of cell above the agger nasi cell extending above the frontal beak
d. A cell extending more than 50% of the vertical height of the frontal sinus

9. All the following medications can impair allergy skin testing, except:
a. Leukotriene receptor antagonist
b. Tricyclic antidepressants
c. Systemic corticosteroid
d. H1-receptor antagonists
e. H2- receptor antagonists

10. Which of the following most commonly causes nasal valve obstruction?
a. Previous rhinoplasty
b. Turbinate hypertrophy
c. Nasal polyposis
d. congenital