Nasal polyps: 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 · Nasal polyps

Sample item

A 15-year-old boy has progressive unilateral nasal obstruction. Examination shows a smooth, pale, single polyp extending from the middle meatus into the nasopharynx. What is its usual site of origin?

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

The answer and the reasoning

B. Maxillary sinus

An antrochoanal polyp arises from the maxillary antrum, passes through the accessory or natural ostium into the middle meatus and then toward the choana. It is typically single and unilateral in young patients, unlike allergic ethmoidal polyps which are multiple and bilateral. Treatment is surgical removal with clearance of the sinus origin.

Option by option

  • A. Ethmoid sinus

    Ethmoidal polyps are usually multiple, bilateral and associated with allergy.

  • B. Maxillary sinus (correct)

    Correct. The stalk originates within the maxillary antrum.

  • C. Inferior turbinate

    The inferior turbinate is not the origin of a choanal polyp.

  • D. Sphenoid sinus

    Sphenoid origin is rare and would not present as a middle meatus polyp.

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 B, Maxillary sinus. An antrochoanal polyp arises from the maxillary antrum, passes through the accessory or natural ostium into the middle meatus and then toward the choana.

Why is "Ethmoid sinus" not the answer?

Ethmoidal polyps are usually multiple, bilateral and associated with allergy.

Why is "Inferior turbinate" not the answer?

The inferior turbinate is not the origin of a choanal polyp.

Why is "Sphenoid sinus" not the answer?

Sphenoid origin is rare and would not present as a middle meatus polyp.

What concept does this question test?

It tests Nasal polyps in ENT. It is typically single and unilateral in young patients, unlike allergic ethmoidal polyps which are multiple and bilateral. Treatment is surgical removal with clearance of the sinus origin.

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 Nasal polyps?

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.