Nose: synechiae after FESS: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Nose: synechiae after FESS

Sample item

After functional endoscopic sinus surgery, a patient has recurrent frontal and maxillary symptoms. Endoscopy shows a band between the middle turbinate and lateral nasal wall. What is the most common complication of FESS, and what is it?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Synechiae (adhesions) between the middle turbinate and lateral nasal wall

Adhesions between the raw surfaces of the middle turbinate and the lateral wall are the commonest complication and can obstruct the ostiomeatal complex. Prevention includes careful mucosal preservation, spacers and postoperative endoscopic debridement. Major complications such as CSF leak and visual loss are rare.

Option by option

  • A. Blindness

    Visual loss is a rare major complication.

  • B. Synechiae (adhesions) between the middle turbinate and lateral nasal wall (correct)

    Correct. Synechiae are the most common sequel.

  • C. CSF leak

    CSF leak is uncommon.

  • D. Anosmia

    Anosmia is uncommon and not the most frequent sequel.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Synechiae (adhesions) between the middle turbinate and lateral nasal wall. Adhesions between the raw surfaces of the middle turbinate and the lateral wall are the commonest complication and can obstruct the ostiomeatal complex.

Why is "Blindness" not the answer?

Visual loss is a rare major complication.

Why is "CSF leak" not the answer?

CSF leak is uncommon.

Why is "Anosmia" not the answer?

Anosmia is uncommon and not the most frequent sequel.

What concept does this question test?

It tests Nose: synechiae after FESS in ENT. Prevention includes careful mucosal preservation, spacers and postoperative endoscopic debridement. Major complications such as CSF leak and visual loss are rare.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nose: synechiae after FESS?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.