مريضة لديها التهاب جيوب أنفية حاد منذ ٤ أيام، مع انسداد أنف وصداع خفيف بدون حمى عالية. ما العلاج المناسب غالباً؟

A woman has had acute sinusitis for 4 days with nasal blockage and mild headache, no high fever. What is usually appropriate?

1. Sinus surgery the same week
2. Saline irrigation and analgesia; usually viral
3. An urgent sinus CT scan
4. A broad-spectrum antibiotic immediately for a month

Answer: B) Saline irrigation and analgesia; usually viral. Most acute sinusitis is viral and settles within 10 days. Saline, analgesics and nasal steroids are used; antibiotics are for symptoms over 10 days, severe illness or worsening after improvement.