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ENT · Nose and paranasal sinuses: Woakes' ethmoiditis
Sample itemA 25-year-old with long-standing nasal polyposis has a broad nasal bridge and widely separated eyes. Which entity is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Woakes' ethmoiditis
Woakes' ethmoiditis is extensive recurrent ethmoidal polyposis causing broadening of the nasal bridge by pressure on the nasal bones and hypertelorism. Treatment follows that for polyposis, with surgery. The distinguishing feature is the bony widening.
Option by option
A. Pott's puffy tumour
Pott's puffy tumour is a frontal subperiosteal abscess.
B. Rhinophyma
Rhinophyma is hypertrophy of the nasal skin.
C. Frontoethmoidal encephalocele
An encephalocele is a congenital midline mass.
D. Woakes' ethmoiditis (correct)
Correct. Polyposis with broadening of the bridge.
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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