Nasal obstruction: septal hematoma: 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 · Nasal obstruction: septal hematoma

Sample item

After nasal trauma, a child has bilateral boggy septal swelling and worsening obstruction. What is the urgent concern?

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

The answer and the reasoning

D. Septal hematoma requiring drainage

A septal hematoma can compromise cartilage blood supply and cause septal necrosis or deformity if not drained promptly. It should be actively sought after nasal trauma.

Option by option

  • A. Simple nasal bruising only

    Simple bruising does not produce a fluctuant septal collection.

  • B. Tonsillitis

    Tonsillitis does not cause septal swelling.

  • C. Allergic rhinitis

    Allergic rhinitis is not caused by acute trauma.

  • D. Septal hematoma requiring drainage (correct)

    Correct. Boggy bilateral septal swelling is an urgent hematoma sign.

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 D, Septal hematoma requiring drainage. A septal hematoma can compromise cartilage blood supply and cause septal necrosis or deformity if not drained promptly.

Why is "Simple nasal bruising only" not the answer?

Simple bruising does not produce a fluctuant septal collection.

Why is "Tonsillitis" not the answer?

Tonsillitis does not cause septal swelling.

Why is "Allergic rhinitis" not the answer?

Allergic rhinitis is not caused by acute trauma.

What concept does this question test?

It tests Nasal obstruction: septal hematoma in ENT. It should be actively sought after nasal trauma.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Nasal obstruction: septal hematoma?

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.