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ENT · Nose: encephalocele versus glioma
Sample itemA newborn has a bluish, soft midline nasal mass that expands on crying and when the jugular veins are compressed. What is the name of this sign?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Furstenberg test positive
Expansion of a nasal mass on crying or on jugular compression indicates a communication with the intracranial CSF space, as in meningoencephalocele. A nasal glioma does not expand. Biopsy of such a mass is contraindicated before imaging.
Option by option
A. Hennebert sign
Hennebert's sign relates to the vestibular fistula.
B. Furstenberg test positive (correct)
Correct. Furstenberg's test indicates an intracranial connection.
C. Rinne test positive
Rinne is a tuning fork test.
D. Gelle test positive
Gelle's test detects stapes fixation.
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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