CRSwNP in the Specialty Setting: Targeting Reduced Patient Burden With Evolved Assessment and Treatment Strategies - Monday, March 24, 2025

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* 1. Which of the following best describes your profession?

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* 2. Which of the following best describes your specialty?

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* 3. How confident are you in the management of patients with CRSwNP in your practice?  

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* 4. A 38-year-old woman with perennial allergic rhinitis (fluticasone over the counter) and asthma controlled on medium-dose inhaled corticosteroids, presents to ENT on referral for endoscopic evaluation of suspected nasal polyps. Primary care evaluation revealed total IgE = 200 IU, BEC = 600 cells/μL, NCS = 2, loss of smell = 2, and SNOT-22 = 53. How would you categorize the severity of CRSwNP in this patient?

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* 5. Logan is a 50-year-old man with a 3-year history of CRSwNP. He underwent functional endoscopic sinus surgery (FESS) 2 years ago, is currently being treated with EDS-FLU nasal spray, and has undergone two courses of oral corticosteroids (OCS) in the past year. He presents for persistent loss of smell, facial pain, and rhinorrhea. His evaluation indicates an NPS = 5, NCS = 2, SNOT-22 = 59, Lund-MacKay Score = 12, and BEC = 500 cells/μL. What treatment would you recommend for him?

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* 6. In a 2024 study, after cost, what was the second most commonly reported barrier to initiation of biologic therapy among patients with CRSwNP?

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* 7. The EPOS/EUFOREA 2023 update suggests evaluating five criteria, including nasal polyp size, reduced need for OCS, reduced impact of comorbidities, and improvements in quality of life and sense of smell to define response to a biologic treatment. A good to excellent response is achieved if how many criteria are met?

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