Nose and paranasal sinuses: Lund-Mackay score: 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 · Nose and paranasal sinuses: Lund-Mackay score

Sample item

Which scoring system is used to quantify the extent of mucosal opacification of the paranasal sinuses on CT in chronic rhinosinusitis?

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

The answer and the reasoning

C. Lund-Mackay score

The Lund-Mackay system scores each sinus 0, 1 or 2 for none, partial or complete opacification, and the ostiomeatal complex 0 or 2, to give a total up to 24. It is widely used to grade disease and to evaluate treatment. It does not correlate strongly with symptoms.

Option by option

  • A. Glasgow Coma Scale

    The Glasgow Coma Scale assesses consciousness.

  • B. House-Brackmann score

    House-Brackmann grades facial nerve function.

  • C. Lund-Mackay score (correct)

    Correct. It grades sinus opacification on CT.

  • D. Apgar score

    The Apgar score assesses newborn status.

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 C, Lund-Mackay score. The Lund-Mackay system scores each sinus 0, 1 or 2 for none, partial or complete opacification, and the ostiomeatal complex 0 or 2, to give a total up to 24.

Why is "Glasgow Coma Scale" not the answer?

The Glasgow Coma Scale assesses consciousness.

Why is "House-Brackmann score" not the answer?

House-Brackmann grades facial nerve function.

Why is "Apgar score" not the answer?

The Apgar score assesses newborn status.

What concept does this question test?

It tests Nose and paranasal sinuses: Lund-Mackay score in ENT. It is widely used to grade disease and to evaluate treatment. It does not correlate strongly with symptoms.

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 paranasal sinuses: Lund-Mackay score?

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.