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ENT · Nose and sinuses
Sample itemWhich feature in epistaxis requires urgent airway-focused assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Brisk posterior bleeding with blood entering the pharynx
Posterior epistaxis can produce heavy pharyngeal bleeding and aspiration risk, requiring resuscitation, visualization, and early specialist support.
Option by option
A. A tiny anterior crust that stops after pressure
Minor anterior bleeding often responds to compression.
B. Mild bilateral nasal itch in spring
Seasonal itch suggests allergic rhinitis.
C. Clear rhinorrhoea after exercise
Exercise-related rhinorrhoea is not major epistaxis.
D. Brisk posterior bleeding with blood entering the pharynx (correct)
Correct: posterior flow can threaten airway and haemodynamic stability.
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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