1.
Describe the evaluation of a patient with rhinitis.
2.
What is the pharmacologic mechanism of action and the potential side effects of antihistamines, systemic steroids, intranasal steroid sprays, decongestants, and anticholinergic agents used in the management of rhinitis?
3.
What is nonallergic rhinitis (NAR) and what are some of the common subtypes of NAR?
4.
What are the characteristics of nonallergic rhinitis (idiopathic NAR)? What are the management options for this condition?
5.
How is NAR diagnosed? What are nasal provocation tests?
Reference(s):
Lambert, E. M., Patel, C. B., Fakhri, S., Citardi, M. J., & Luong, A. (2013). Optical rhinometry in nonallergic irritant rhinitis: a capsaicin challenge study. International Forum of Allergy & Rhinology, 3(10), 795–800.
6.
What is the pathogenesis of NAR? Is there an allergy component?
Reference(s):
Powe, D. G., & Jones, N. S. (2006). Local mucosal immunoglobulin E production: does allergy exist in non-allergic rhinitis? Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology, 36(11), 1367–1372.
7.
What are some common medications and occupational exposures that cause NAR?
8.
Compare and contrast the medical management of allergic rhinitis and NAR.
Reference(s):
Tran, N. P., Vickery, J., & Blaiss, M. S. (2011). Management of rhinitis: allergic and non-allergic. Allergy, Asthma & Immunology Research, 3(3), 148–156.
9.
Discuss capsaicin treatment for NAR.
10.
This patient presents with a history of nasal obstruction and a foul smell from the nose and has the nasal endoscopic exam shown. What is the patient’s diagnosis? Describe the management options for this problem.
11.
What is hormonal rhinitis? What physical conditions are associated with it? What nasal medications are safe during pregnancy?
12.
What is rhinitis medicamentosa? Describe the treatment for rhinitis medicamentosa.
13.
What is Aspirin Exacerbated Respiratory Disease (AERD)? How is it treated? Can these patients take ibuprofen or Tylenol?
14.
What is nonallergic rhinitis with eosinophilia syndrome? How does it relate to AERD?
15.
What is geriatric rhinitis? How does treatment differ from other rhinitis therapies?
16.
What is a vidian neurectomy?
Reference(s):
Zhang, H., Micomonaco, D. C., Dziegielewski, P. T., Sowerby, L. J., Weis, E., & Wright, E. D. (2015). Endoscopic vidian neurectomy: a prospective case series. International Forum of Allergy & Rhinology, 5(5), 423–430.
17.
What are the surgical options to treat empty nose syndrome?
Reference(s):
Leong, S. C. (2015). The clinical efficacy of surgical interventions for empty nose syndrome: A systematic review. The Laryngoscope, 125(7), 1557–1562.