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ENT · Nasal trauma
Sample itemWhy should a septal hematoma be identified promptly after nasal trauma?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. It can compromise septal cartilage and cause deformity
A septal hematoma separates mucoperichondrium from septal cartilage and can compromise its blood supply, leading to cartilage necrosis, abscess, and saddle-nose deformity if not urgently drained.
Option by option
A. It always resolves without treatment
Untreated hematoma can cause serious local complications.
B. It can compromise septal cartilage and cause deformity (correct)
Correct: prompt treatment protects cartilage from ischemic necrosis.
C. It proves a skull fracture
It does not by itself prove a skull fracture.
D. It causes cataracts
Cataracts are unrelated to nasal septal trauma.
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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