Nose and sinuses: practice question

A ENT 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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ENT · Nose and sinuses

Sample item

Which feature suggests a cerebrospinal fluid leak rather than simple rhinitis?

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

The answer and the reasoning

C. Clear unilateral rhinorrhoea after head trauma that increases on leaning forward

Clear positional unilateral rhinorrhoea after trauma can indicate CSF leak, which needs urgent evaluation because of meningitis risk.

Option by option

  • A. Thick green discharge during a viral cold

    Green discharge may occur with infection.

  • B. Intermittent blood-stained crusting from nose picking

    Minor crusting commonly follows local trauma.

  • C. Clear unilateral rhinorrhoea after head trauma that increases on leaning forward (correct)

    Correct: post-traumatic positional clear fluid is a serious CSF-leak clue.

  • D. Itchy bilateral rhinorrhoea during pollen season

    Pollen-related itch suggests allergy.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, Clear unilateral rhinorrhoea after head trauma that increases on leaning forward. Clear positional unilateral rhinorrhoea after trauma can indicate CSF leak, which needs urgent evaluation because of meningitis risk.

Why is "Thick green discharge during a viral cold" not the answer?

Green discharge may occur with infection.

Why is "Intermittent blood-stained crusting from nose picking" not the answer?

Minor crusting commonly follows local trauma.

Why is "Itchy bilateral rhinorrhoea during pollen season" not the answer?

Pollen-related itch suggests allergy.

What concept does this question test?

It tests Nose and sinuses in ENT. The correct option holds because: Correct: post-traumatic positional clear fluid is a serious CSF-leak clue.

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 Nose and sinuses?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT 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.