Infections: rhinosporidiosis: practice question

A Dermatology 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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Dermatology · Infections: rhinosporidiosis

Sample item

A farmer who bathes in a village pond has a friable, polypoid, strawberry-like bleeding mass in the nose. Histology shows large sporangia containing endospores. What is the diagnosis?

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

The answer and the reasoning

A. Rhinosporidiosis

Rhinosporidiosis is caused by Rhinosporidium seeberi, an aquatic protistan organism, and is common in India and Sri Lanka. Large sporangia with endospores are diagnostic. Treatment is surgical excision with cautery of the base.

Option by option

  • A. Rhinosporidiosis (correct)

    Correct. Sporangia with endospores in a nasal polyp indicate rhinosporidiosis.

  • B. Nasal polyp from allergy

    Allergic polyps are pale and gelatinous with eosinophils.

  • C. Nasal tuberculosis

    Nasal tuberculosis shows caseating granulomas.

  • D. Mucormycosis

    Mucormycosis shows broad aseptate hyphae and tissue necrosis.

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.

More Dermatology questions

Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is A, Rhinosporidiosis. Rhinosporidiosis is caused by Rhinosporidium seeberi, an aquatic protistan organism, and is common in India and Sri Lanka.

Why is "Nasal polyp from allergy" not the answer?

Allergic polyps are pale and gelatinous with eosinophils.

Why is "Nasal tuberculosis" not the answer?

Nasal tuberculosis shows caseating granulomas.

Why is "Mucormycosis" not the answer?

Mucormycosis shows broad aseptate hyphae and tissue necrosis.

What concept does this question test?

It tests Infections: rhinosporidiosis in Dermatology. Large sporangia with endospores are diagnostic. Treatment is surgical excision with cautery of the base.

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 Infections: rhinosporidiosis?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology 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.