Chronic rhinosinusitis: 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 · Chronic rhinosinusitis

Sample item

A patient with long-standing nasal blockage and anosmia has bilateral glistening, grape-like masses in the nose. From which site do these usually arise, blocking sinus drainage?

AInferior meatusBNasal floorCNasal vestibuleDMiddle meatus

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

The answer and the reasoning

D. Middle meatus

Polyps commonly arise from the ostiomeatal complex of the middle meatus, obstructing drainage of the frontal, maxillary and anterior ethmoid sinuses. They are often associated with allergy or asthma.

Option by option

A. Inferior meatus
The inferior meatus receives the nasolacrimal duct and rarely gives rise to polyps.
B. Nasal floor
The nasal floor is not a usual origin.
C. Nasal vestibule
The vestibule is lined by skin and is not a polyp site.
D. Middle meatus (correct)
Correct. The ostiomeatal region is the typical origin.

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, Middle meatus. Polyps commonly arise from the ostiomeatal complex of the middle meatus, obstructing drainage of the frontal, maxillary and anterior ethmoid sinuses.

Why is "Inferior meatus" not the answer?

The inferior meatus receives the nasolacrimal duct and rarely gives rise to polyps.

Why is "Nasal floor" not the answer?

The nasal floor is not a usual origin.

Why is "Nasal vestibule" not the answer?

The vestibule is lined by skin and is not a polyp site.

What concept does this question test?

It tests Chronic rhinosinusitis in ENT. They are often associated with allergy or asthma.

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 Chronic rhinosinusitis?

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.