Facial trauma: Le Fort II: 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 · Facial trauma: Le Fort II

Sample item

After a road accident, a patient has a pyramidal mobile midface with bilateral periorbital ecchymosis and CSF rhinorrhoea. Which fracture is this?

ALe Fort IIIBIsolated nasal bone fractureCLe Fort IDLe Fort II

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

The answer and the reasoning

D. Le Fort II

Le Fort II is a pyramidal fracture that passes through the nasal bridge, medial orbit and infraorbital rim, so the central midface is mobile. Le Fort III is craniofacial disjunction and Le Fort I is a horizontal maxillary fracture above the teeth.

Option by option

A. Le Fort III
Le Fort III separates the facial skeleton from the cranial base.
B. Isolated nasal bone fracture
An isolated nasal fracture does not move the midface.
C. Le Fort I
Le Fort I involves only the lower maxilla and palate.
D. Le Fort II (correct)
Correct. A pyramidal fracture is Le Fort II.

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.

Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Le Fort II. Le Fort II is a pyramidal fracture that passes through the nasal bridge, medial orbit and infraorbital rim, so the central midface is mobile.

Why is "Le Fort III" not the answer?

Le Fort III separates the facial skeleton from the cranial base.

Why is "Isolated nasal bone fracture" not the answer?

An isolated nasal fracture does not move the midface.

Why is "Le Fort I" not the answer?

Le Fort I involves only the lower maxilla and palate.

What concept does this question test?

It tests Facial trauma: Le Fort II in ENT. Le Fort III is craniofacial disjunction and Le Fort I is a horizontal maxillary fracture above the teeth.

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 Facial trauma: Le Fort II?

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.