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ENT · Nose: vasomotor rhinitis
Sample itemA patient has intractable vasomotor rhinitis with watery rhinorrhoea unresponsive to medical therapy. Which operation interrupts the parasympathetic supply?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Vidian neurectomy
The vidian nerve carries parasympathetic secretomotor fibres to the nasal mucosa, and its section reduces watery discharge. Posterior nasal neurectomy is a modern alternative. Septoplasty addresses mechanical obstruction.
Option by option
A. Vidian neurectomy (correct)
Correct. Vidian neurectomy cuts the parasympathetic secretomotor supply.
B. Ethmoidectomy
Ethmoidectomy treats ethmoid disease.
C. Caldwell-Luc operation
Caldwell-Luc treats antral disease.
D. Septoplasty
Septoplasty corrects structural deviation.
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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