Here are Medical MCQs related to Epistaxis related scanarios.
A 25-year-old female presents to the emergency room with a nosebleed that started spontaneously. The patient denies any history of trauma or recent nasal surgery. The patient is currently taking aspirin for a headache. On examination, the patient's blood pressure is within normal limits, and there is no evidence of coagulopathy. What is the most likely cause of the patient's epistaxis?
A. Hypertension
B. Coagulopathy
C. Medication-induced
D. Nasal polyp
Answer: C. Medication-induced
A 65-year-old male presents with recurrent nosebleeds that have been occurring for several months. The patient has a history of hypertension, diabetes, and chronic kidney disease. On examination, there is no evidence of trauma, and the patient's blood pressure is within normal limits. What is the most likely cause of the patient's epistaxis?
A. Trauma
B. Hypertension
C. Coagulopathy
D. Vascular malformation
Answer: D. Vascular malformation
A 40-year-old male presents to the emergency room with a nosebleed that started after he blew his nose. The patient has a history of hypertension and takes lisinopril. On examination, the patient's blood pressure is within normal limits, and there is no evidence of coagulopathy. What is the most likely cause of the patient's epistaxis?
A. Trauma
B. Medication-induced
C. Hypertension
D. Nasal septal deviation
Answer: A. Trauma
A 12-year-old male presents to the emergency room with a nosebleed that has been ongoing for 30 minutes. The patient denies any history of trauma, recent nasal surgery, or medication use. On examination, the patient's blood pressure is within normal limits, and there is no evidence of coagulopathy. What is the most likely cause of the patient's epistaxis?
A. Coagulopathy
B. Foreign body
C. Nasal septal deviation
D. Nasal tumor
Answer: C. Nasal septal deviation
A 50-year-old female presents with recurrent nosebleeds that have been occurring for several weeks. The patient has a history of von Willebrand disease. On examination, the patient's blood pressure is within normal limits, and there is no evidence of trauma. What is the most likely cause of the patient's epistaxis?
A. Trauma
B. Hypertension
C. Coagulopathy
D. Nasal septal deviation
Answer: C. Coagulopathy
A 7-year-old child presents to the emergency department with a nosebleed that has lasted for 20 minutes. The bleeding is not severe, but the child is becoming anxious. What is the first-line management approach?
A) Packing the nose with gauze
B) Application of direct pressure to the nose
C) Use of vasoconstrictors like phenylephrine or oxymetazoline
D) Surgical intervention
Answer: B) Application of direct pressure to the nose
A 35-year-old man presents with recurrent episodes of epistaxis over the past few weeks. He has a history of hypertension and takes medications for it. On examination, his blood pressure is 160/100 mmHg. What is the most likely cause of his epistaxis?
A) Nasal trauma
B) Dry nasal mucosa
C) Blood disorders like platelet dysfunction or coagulopathy
D) Hypertension
Answer: D) Hypertension
A 60-year-old woman presents with a massive nosebleed that has lasted for 30 minutes. She has a history of atrial fibrillation and takes warfarin for anticoagulation. What is the most appropriate management approach?
A) Packing the nose with gauze
B) Use of vasoconstrictors like phenylephrine or oxymetazoline
C) Immediate reversal of anticoagulation with vitamin K or prothrombin complex concentrate
D) Surgical intervention
Answer: C) Immediate reversal of anticoagulation with vitamin K or prothrombin complex concentrate
A 25-year-old man presents with recurrent episodes of epistaxis over the past year. On examination, he has a reddish-purple, lobulated mass in the anterior nasal cavity. What is the most likely diagnosis?
A) Nasal septal perforation
B) Nasal polyps
C) Juvenile nasopharyngeal angiofibroma
D) Anterior nasal cavity carcinoma
Answer: B) Nasal polyps
A 50-year-old woman presents with a history of frequent nosebleeds and a family history of similar symptoms. On examination, there are multiple telangiectasias on the nasal mucosa. What is the most likely diagnosis?
A) Hereditary hemorrhagic telangiectasia (HHT)
B) Wegener's granulomatosis
C) Idiopathic thrombocytopenic purpura (ITP)
D) Antiphospholipid syndrome
Answer: A) Hereditary hemorrhagic telangiectasia (HHT)
Tom, a 45-year-old man, presents to the emergency room with a nosebleed that has been ongoing for 30 minutes. He has no history of hypertension or bleeding disorders. Which of the following interventions is appropriate for initial management of his nosebleed?
A) Insertion of a nasal tampon
B) Administration of tranexamic acid
C) Application of ice to the nose
D) Observation with no intervention
Answer: C) Application of ice to the nose
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