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ENT · Nose and paranasal sinuses: ethmoidal polyps
Sample itemA 40-year-old asthmatic with anosmia has multiple bilateral grape-like glistening masses in the middle meatus. What is the most likely type?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Ethmoidal polyps
Ethmoidal polyps are multiple, bilateral and associated with allergy, asthma and aspirin sensitivity. They arise from the ethmoid region and cause obstruction and anosmia. Medical therapy with topical and sometimes oral steroids precedes surgery.
Option by option
A. Antrochoanal polyp
The antrochoanal polyp is solitary.
B. Ethmoidal polyps (correct)
Correct. Multiple bilateral polyps in an atopic adult.
C. Inverted papilloma
Inverted papilloma is unilateral and firm.
D. Juvenile angiofibroma
Angiofibroma occurs in adolescent males and bleeds.
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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