ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 09 / 20

Rhinitis, Nasal Obstruction & Polyps

Assess inflammatory nasal symptoms while identifying persistent unilateral warning signs.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which pattern supports allergic rhinitis? A. Progressive unilateral bleeding aloneB. Facial numbness aloneC. A fixed neck mass aloneD. Sneezing, itch and watery discharge with triggers

Question 02. What should be checked before declaring a nasal steroid ineffective? A. Only the bottle colourB. Whether antibiotics were taken firstC. Whether the patient has perfect hearingD. Technique and adherence

Question 03. Where should a nasal spray generally be directed? A. Directly against the septum with forceB. Into the external earC. Away from the nasal septumD. At the tongue

Question 04. Prolonged topical decongestant use can cause what? A. Permanent cure of all rhinitisB. Retinal detachmentC. Complete immunity to infectionD. Rebound nasal congestion

Question 05. Why ask about over-the-counter nasal products? A. They cannot contain active medicinesB. They may contribute to symptoms and adverse effectsC. They never affect managementD. They replace examination

Question 06. Which finding needs specialist evaluation rather than automatic benign labelling? A. Symmetrical mild allergic symptoms aloneB. Brief resolved sneezingC. Normal nasal airflowD. A unilateral nasal mass

Question 07. Which symptom commonly accompanies inflammatory nasal polyps? A. Sudden sensorineural deafness in every caseB. Reduced smellC. Diplopia in every caseD. Haematemesis in every case

Question 08. Persistent unilateral obstruction with blood-stained discharge requires what? A. Indefinite allergy treatment without reviewB. Assessment for focal diseaseC. Reassurance if painlessD. No further action after one spray dose

Question 09. Clear unilateral nasal fluid after head trauma raises concern for what? A. Cerebrospinal fluid leakB. Routine seasonal allergy onlyC. Simple wax impactionD. Acute tonsillitis

Question 10. Does a previous allergy diagnosis explain every later nasal symptom? A. Yes, permanentlyB. No, new red flags require reassessmentC. Only if the patient is youngD. Only if discharge is present

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.