TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 76: Tumors and Polyps of the Nose Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient reports chronic nasal obstruction and recurrent epistaxis. Which type of nasal mass
is likely? a. Inverted papilloma b. Nasal polyp c. Paranasal lymphoma d. Squamous cell carcinoma ANS: A
Inverted papillomas are benign tumors of the nasal mucosa and are highly vascular with frequent bleeding. Nasal polyps typically do not bleed and are associated with allergies. Paranasal lymphoma and squamous cell carcinoma are not initially associated with bleeding. 2. A patient reports chronic nasal obstruction and difficulty distinguishing smells. The provider
examines the nares with a nasal speculum and observes several grapelike lesions in both nostrils. What is the likely cause of this patient’s symptoms? a. Chronic sinusitis b. Nasal polyps c. Squamous cell carcinoma d. Vascular benign tumor ANS: B
NURSIdysfunction NGTB.COM Polyps cause obstruction and olfactory and appear as grapelike lesions on the nasal mucosa. Most malignant neoplasms are asymptomatic until late in the course. Chronic sinusitis characteristically produces inflammation and purulent discharge. 3. A provider examines a patient who has chronic nasal obstruction, respiratory tract symptoms,
and generalized malaise. An examination of the nasal mucosa reveals ulceration of the nasal septum. What is the most important action when caring for this patient? a. Administering prednisone b. Obtaining a chest radiograph c. Performing laboratory tests d. Referring to a specialist ANS: D
This patient has symptoms of granulomatosis with polyangiitis (GPA) and should be referred as soon as the disease is suspected. The other actions will be taken, but referral is the most important.
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