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CME Exam: Chronic Rhinosinusitis without Nasal Polyps
Continuing Medical Education examination
Chronic Rhinosinusitis without Nasal Polyps Instructions for AMA PRA Category 1 CreditÔ The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Test ID no.: jaip0052 Contact hours: 1.0 Expiration date: June 30, 2017 AMA PRA Category 1 CreditÔ can be earned by reading the text material and taking this CME examination online. For complete instructions, visit the Journal’s Web site at www.jaci-inpractice.org.
Learning objectives: 1. To define the phenotype of chronic rhinosinusitis (CRS) without nasal polyps. 2. To identify histologic features of CRS without nasal polyps that differ from those of CRS with nasal polyps. 3. To identify inflammatory markers of CRS without nasal polyps that differ from those of CRS with nasal polyps. 4. To identify treatment of CRS without nasal polyps that differ from those of CRS with nasal polyps.
CME items Question 1. Which of the following is required for the diagnosis of chronic rhinosinusitis without nasal polyps (CRSsNP) based on the EPOS guideline?
Question 3. Which of the following histologic features would most likely be observed in chronic rhinosinusitis without nasal polyps compared with CRS with nasal polyps?
A. History of severe temporal headache for the past 4 months
A. Eosinophilic inflammation
B. Nasal purulent discharge for the past 2 months and swelling of middle meatus on the nasal endoscope finding
B. Glandular hypertrophy
C. Nasal obstruction for the past 1 year and ethmoidal opacity on the sinus CT scan D. Total opacity findings detected incidentally on the PNS CT with no specific nasal symptoms Question 2. Which of the following statements about chronic rhinosinusitis without nasal polyps is correct? A. CRS without nasal polyps is a homogenous disease entirely representing neutrophilic inflammation B. The role of bacteria in CRS without nasal polyps is well established so that antibiotics are effective regimens. C. CRS with nasal polyps is a more severe form of CRS subtype and more prevalent compared with CRS without nasal polyps D. Ostial occlusion theory and consequent sinus hypoxia reasonably explain for the remodeling pattern in CRS without nasal polyps
C. Goblet cell hyperplasia D. Fibrosis Question 4. Which of the following inflammatory markers would most likely be associated with chronic rhinosinusitis (CRS) without nasal polyps compared with CRS with nasal polyps? A. TGF-b B. IL-5 C. Periostin D. ECP Question 5. Which of the following treatments would be less likely to be recommended in chronic rhinosinusitis without nasal polyps? A. Macrolide B. Saline irrigation C. Oral corticosteroid D. Intranasal corticosteroid
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Chronic Rhinosinusitis without Nasal Polyps Instructions for AMA PRA Category 1 CreditÔ The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Test ID no.: jaip0052 Contact hours: 1.0 Expiration date: June 30, 2017 AMA PRA Category 1 CreditÔ can be earned by reading the text material and taking this CME examination online. For complete instructions, visit the Journal’s Web site at www.jaci-inpractice.org.
Learning objectives: 1. To define the phenotype of chronic rhinosinusitis (CRS) without nasal polyps. 2. To identify histologic features of CRS without nasal polyps that differ from those of CRS with nasal polyps. 3. To identify inflammatory markers of CRS without nasal polyps that differ from those of CRS with nasal polyps. 4. To identify treatment of CRS without nasal polyps that differ from those of CRS with nasal polyps.
CME items Question 1. Which of the following is required for the diagnosis of chronic rhinosinusitis without nasal polyps (CRSsNP) based on the EPOS guideline?
Question 3. Which of the following histologic features would most likely be observed in chronic rhinosinusitis without nasal polyps compared with CRS with nasal polyps?
A. History of severe temporal headache for the past 4 months
A. Eosinophilic inflammation
B. Nasal purulent discharge for the past 2 months and swelling of middle meatus on the nasal endoscope finding
B. Glandular hypertrophy
C. Nasal obstruction for the past 1 year and ethmoidal opacity on the sinus CT scan D. Total opacity findings detected incidentally on the PNS CT with no specific nasal symptoms Question 2. Which of the following statements about chronic rhinosinusitis without nasal polyps is correct? A. CRS without nasal polyps is a homogenous disease entirely representing neutrophilic inflammation B. The role of bacteria in CRS without nasal polyps is well established so that antibiotics are effective regimens. C. CRS with nasal polyps is a more severe form of CRS subtype and more prevalent compared with CRS without nasal polyps D. Ostial occlusion theory and consequent sinus hypoxia reasonably explain for the remodeling pattern in CRS without nasal polyps
C. Goblet cell hyperplasia D. Fibrosis Question 4. Which of the following inflammatory markers would most likely be associated with chronic rhinosinusitis (CRS) without nasal polyps compared with CRS with nasal polyps? A. TGF-b B. IL-5 C. Periostin D. ECP Question 5. Which of the following treatments would be less likely to be recommended in chronic rhinosinusitis without nasal polyps? A. Macrolide B. Saline irrigation C. Oral corticosteroid D. Intranasal corticosteroid
583