Nose: rhinoscleroma: 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: rhinoscleroma

Sample item

Biopsy of a hard, woody nasal mass shows foamy macrophages containing bacilli (Mikulicz cells) and Russell bodies. Which organism is responsible?

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

The answer and the reasoning

D. Klebsiella rhinoscleromatis

Rhinoscleroma is a chronic granulomatous disease caused by Klebsiella rhinoscleromatis with catarrhal, granulomatous and sclerotic stages. Mikulicz cells and Russell bodies are characteristic. Long-term streptomycin or tetracyclines are used.

Option by option

  • A. Rhinosporidium seeberi

    Rhinosporidium produces sporangia.

  • B. Treponema pallidum

    Syphilis shows plasma-cell infiltrate and gummas.

  • C. Mycobacterium leprae

    Leprosy shows acid-fast bacilli in foamy cells but not Mikulicz cells or Russell bodies.

  • D. Klebsiella rhinoscleromatis (correct)

    Correct. Mikulicz cells with Klebsiella rhinoscleromatis define the disease.

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, Klebsiella rhinoscleromatis. Rhinoscleroma is a chronic granulomatous disease caused by Klebsiella rhinoscleromatis with catarrhal, granulomatous and sclerotic stages.

Why is "Rhinosporidium seeberi" not the answer?

Rhinosporidium produces sporangia.

Why is "Treponema pallidum" not the answer?

Syphilis shows plasma-cell infiltrate and gummas.

Why is "Mycobacterium leprae" not the answer?

Leprosy shows acid-fast bacilli in foamy cells but not Mikulicz cells or Russell bodies.

What concept does this question test?

It tests Nose: rhinoscleroma in ENT. Mikulicz cells and Russell bodies are characteristic. Long-term streptomycin or tetracyclines are used.

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: rhinoscleroma?

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.