5 board-style questions on sinusitis in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 35-year-old man presents with 12 days of persistent nasal congestion, facial pressure, and thick yellow-green nasal discharge. His symptoms initially improved after a week but then worsened over the past 3 days. He has a temperature of 38.3°C (100.9°F) and bilateral maxillary sinus tenderness. He has no drug allergies and no recent antibiotic use. Which of the following is the most appropriate initial antibiotic therapy?
A 42-year-old man presents with a 3-week history of worsening frontal headache, high-grade fever of 39.5°C (103.1°F), and periorbital swelling over the past 2 days. He was treated for acute bacterial sinusitis with amoxicillin-clavulanate starting 10 days ago but has not improved. Examination reveals right upper eyelid erythema and edema with proptosis, limited and painful extraocular movements, and decreased visual acuity in the right eye. What is the most likely complication and the most appropriate immediate management?
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