Nose and nasopharynx: 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.

Try it

ENT · Nose and nasopharynx

Sample item

A 14-year-old boy has progressive nasal obstruction and repeated profuse episodes of unilateral epistaxis. A smooth reddish mass is seen in the nasopharynx. Which is the most likely diagnosis?

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

The answer and the reasoning

C. Juvenile nasopharyngeal angiofibroma

Juvenile nasopharyngeal angiofibroma is a highly vascular benign tumour almost exclusively of adolescent males, arising near the sphenopalatine foramen. Contrast CT or MRI confirms it, and biopsy is avoided because of the risk of torrential haemorrhage.

Option by option

  • A. Antrochoanal polyp

    An antrochoanal polyp is pale, causes obstruction without recurrent heavy bleeding and is not a vascular tumour.

  • B. Nasopharyngeal carcinoma

    Nasopharyngeal carcinoma occurs mainly in adults and presents with neck nodes and ear symptoms.

  • C. Juvenile nasopharyngeal angiofibroma (correct)

    Adolescent male, nasal obstruction and recurrent profuse epistaxis from a vascular nasopharyngeal mass are typical.

  • D. Adenoid hypertrophy

    Adenoid hypertrophy causes obstruction and mouth breathing but does not cause profuse unilateral epistaxis.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, Juvenile nasopharyngeal angiofibroma. Juvenile nasopharyngeal angiofibroma is a highly vascular benign tumour almost exclusively of adolescent males, arising near the sphenopalatine foramen.

Why is "Antrochoanal polyp" not the answer?

An antrochoanal polyp is pale, causes obstruction without recurrent heavy bleeding and is not a vascular tumour.

Why is "Nasopharyngeal carcinoma" not the answer?

Nasopharyngeal carcinoma occurs mainly in adults and presents with neck nodes and ear symptoms.

Why is "Adenoid hypertrophy" not the answer?

Adenoid hypertrophy causes obstruction and mouth breathing but does not cause profuse unilateral epistaxis.

What concept does this question test?

It tests Nose and nasopharynx in ENT. Contrast CT or MRI confirms it, and biopsy is avoided because of the risk of torrential haemorrhage.

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 Nose and nasopharynx?

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.