Anterior/Posterior Nasal Packing MCQ Quiz | Procedures – Minor

Welcome to this multiple-choice quiz designed for MBBS students to test and reinforce their knowledge on the crucial minor procedure of Anterior and Posterior Nasal Packing. This quiz covers key concepts including indications, relevant anatomy like Kiesselbach’s and Woodruff’s plexuses, procedural steps, types of packing materials, and potential complications such as Toxic Shock Syndrome and airway obstruction. Each of the 25 questions is crafted to reflect the level of detail required in your medical curriculum. After submitting your answers, you will receive your score and see the correct responses highlighted. For your revision, you can also download a PDF document containing all the questions along with their correct answers. Good luck!

1. The most common source of anterior epistaxis is:

2. Before performing anterior nasal packing for epistaxis, what is the recommended first-line management step?

3. Which of the following is a potential life-threatening complication specifically associated with posterior nasal packing?

4. A patient with nasal packing develops a high fever, diffuse erythematous rash, and hypotension. What is the most likely diagnosis?

5. When using a Foley catheter for posterior epistaxis control, the balloon should be inflated with:

6. What is the standard duration for leaving a non-absorbable anterior nasal pack in place?

7. The nasopulmonary reflex, a potential complication of posterior packing, can lead to:

8. Which of the following is an example of an absorbable hemostatic nasal packing material?

9. Woodruff’s plexus, a common site for posterior epistaxis, is located in the:

10. Prophylactic systemic antibiotics are often prescribed with nasal packing to primarily prevent:

11. A Bellocq’s cannula is a historical instrument used specifically for which procedure?

12. Which of the following is NOT a component artery of Kiesselbach’s plexus?

13. The primary advantage of balloon catheters (e.g., Epistat, Brighton) over traditional posterior gauze packs is:

14. When removing an anterior nasal pack, what step should be taken to minimize the risk of re-bleeding?

15. If epistaxis persists despite a well-placed anterior pack, the next most appropriate step is to:

16. Pressure necrosis of the nasal ala is a complication most directly caused by:

17. A ‘Rapid Rhino’ device controls epistaxis primarily through:

18. In a patient with a suspected cribriform plate fracture, nasal packing should be performed with extreme caution due to the risk of:

19. The sphenopalatine artery, a major source of posterior epistaxis, is a terminal branch of the:

20. Patients with posterior nasal packs must be admitted to the hospital for monitoring primarily due to the risk of:

21. What is the main purpose of coating ribbon gauze with petroleum jelly or antibiotic ointment before anterior packing?

22. Which patient comorbidity is a significant relative contraindication for using cocaine as a topical vasoconstrictor?

23. When inserting a layered ribbon gauze anterior pack, the correct technique is to layer it:

24. A patient with a bleeding disorder (e.g., hemophilia) presents with epistaxis. Which management strategy is often preferred over traditional packing?

25. After successful placement of a posterior pack using a Foley catheter, what is the mandatory next step?