Sinus disease: acute bacterial rhinosinusitis: 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 · Sinus disease: acute bacterial rhinosinusitis

Sample item

A patient has purulent nasal discharge, facial pain, and symptoms that persist without improvement for more than 10 days after a viral upper respiratory illness. What is most likely?

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

The answer and the reasoning

D. Acute bacterial rhinosinusitis

Persistent or worsening purulent nasal symptoms with facial pain beyond the usual viral course raise concern for acute bacterial rhinosinusitis. Severe systemic illness or orbital symptoms need urgent assessment.

Option by option

  • A. Otitis media with effusion

    Middle-ear effusion causes hearing symptoms rather than facial sinus pain.

  • B. Uncomplicated common cold

    A common cold usually improves within about a week to 10 days.

  • C. BPPV

    BPPV is a vestibular disorder.

  • D. Acute bacterial rhinosinusitis (correct)

    Correct. Persistence beyond the expected viral course is a useful clue.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Acute bacterial rhinosinusitis. Persistent or worsening purulent nasal symptoms with facial pain beyond the usual viral course raise concern for acute bacterial rhinosinusitis.

Why is "Otitis media with effusion" not the answer?

Middle-ear effusion causes hearing symptoms rather than facial sinus pain.

Why is "Uncomplicated common cold" not the answer?

A common cold usually improves within about a week to 10 days.

Why is "BPPV" not the answer?

BPPV is a vestibular disorder.

What concept does this question test?

It tests Sinus disease: acute bacterial rhinosinusitis in ENT. Severe systemic illness or orbital symptoms need urgent assessment.

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 Sinus disease: acute bacterial rhinosinusitis?

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.