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ENT · Nose and sinuses
Sample itemWhich symptom combination suggests acute bacterial rhinosinusitis rather than simple viral rhinitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Persistent purulent nasal discharge with facial pain beyond ten days
Persistent or severe purulent discharge with facial pain can suggest bacterial rhinosinusitis, particularly after a prolonged or worsening course.
Option by option
A. Clear rhinorrhoea lasting one day
One-day clear rhinorrhoea is typical viral illness.
B. Sneezing and itchy eyes after pollen exposure
Itchy pollen-related symptoms suggest allergic rhinitis.
C. Persistent purulent nasal discharge with facial pain beyond ten days (correct)
Correct: prolonged purulent facial symptoms are more concerning for bacterial disease.
D. Isolated earwax accumulation
Earwax does not diagnose sinus inflammation.
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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