Nose and paranasal sinuses: osteoma of the frontal sinus: 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 paranasal sinuses: osteoma of the frontal sinus

Sample item

A young man has an incidental dense, well-circumscribed bony mass in the frontal sinus on CT. Multiple osteomas and colonic polyps are present in his family. Which syndrome is suspected?

AGardner syndromeBLynch syndromeCCowden syndromeDGorlin syndrome

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

The answer and the reasoning

A. Gardner syndrome

Osteoma is the commonest benign tumour of the paranasal sinuses, in the frontal sinus most often. Multiple osteomas with familial adenomatous polyposis are Gardner syndrome, due to APC mutation. Surgery is for symptoms such as mucocele or obstruction of the frontal recess.

Option by option

A. Gardner syndrome (correct)
Correct. Osteomas with colonic polyps indicate Gardner syndrome.
B. Lynch syndrome
Lynch syndrome is non-polyposis colorectal cancer.
C. Cowden syndrome
Cowden syndrome features hamartomas.
D. Gorlin syndrome
Gorlin syndrome features keratocysts and basal cell carcinomas.

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 A, Gardner syndrome. Osteoma is the commonest benign tumour of the paranasal sinuses, in the frontal sinus most often.

Why is "Lynch syndrome" not the answer?

Lynch syndrome is non-polyposis colorectal cancer.

Why is "Cowden syndrome" not the answer?

Cowden syndrome features hamartomas.

Why is "Gorlin syndrome" not the answer?

Gorlin syndrome features keratocysts and basal cell carcinomas.

What concept does this question test?

It tests Nose and paranasal sinuses: osteoma of the frontal sinus in ENT. Multiple osteomas with familial adenomatous polyposis are Gardner syndrome, due to APC mutation. Surgery is for symptoms such as mucocele or obstruction of the frontal recess.

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: osteoma of the frontal sinus?

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.