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ENT · Pediatric ENT: foreign body
Sample itemA child has unilateral foul-smelling nasal discharge with no systemic illness. What should be suspected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Nasal foreign body
Unilateral offensive nasal discharge in a young child should prompt consideration of a retained nasal foreign body. Button batteries require immediate emergency removal because of tissue injury risk.
Option by option
A. Meniere disease
Meniere disease is an adult inner-ear disorder.
B. Bilateral allergic rhinitis
Allergic rhinitis is usually bilateral and clear.
C. Nasal foreign body (correct)
Correct. This is a classic foreign-body presentation.
D. Acute laryngitis
Laryngitis causes hoarseness rather than unilateral discharge.
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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