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ENT · Nose: olfactory training
Sample itemA 35-year-old has had reduced smell for five months after a viral upper respiratory infection, with normal nasal endoscopy and CT. What is the best evidence-based advice?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Structured olfactory training with repeated exposure to strong odours, and reassurance
Post-viral olfactory loss may recover over months, and olfactory training twice daily with four odours such as rose, lemon, clove and eucalyptus improves function. Antibiotics and turbinate surgery have no role when the nose is healthy.
Option by option
A. Structured olfactory training with repeated exposure to strong odours, and reassurance (correct)
Correct. Training promotes regeneration of the olfactory neuroepithelium.
B. Long-term oral antibiotics
Antibiotics do not help when there is no sinus infection.
C. No treatment is possible
Recovery is possible and training helps.
D. Surgical removal of the turbinates
Turbinate surgery is unrelated to sensorineural olfactory loss.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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