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ENT · Rhinology
Sample itemWhat condition may cause unilateral foul-smelling nasal discharge in a child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Nasal foreign body
A retained nasal foreign body can cause local inflammation and secondary infection, producing unilateral purulent and foul-smelling discharge in children.
Option by option
A. Simple migraine
Migraine does not produce persistent unilateral nasal purulence.
B. Nasal foreign body (correct)
Correct: retained foreign bodies classically cause unilateral fetid discharge.
C. Bronchiolitis
Bronchiolitis affects the lower respiratory tract in infants.
D. Cataract
Cataract affects the lens and is unrelated to nasal discharge.
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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