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ENT · Nose: polyps in children
Sample itemA 6-year-old has bilateral nasal polyps and recurrent chest infections with poor weight gain. Which test should be done?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sweat chloride test
Bilateral nasal polyps in a child are unusual and should prompt evaluation for cystic fibrosis with a sweat chloride test. Recurrent chest infection and failure to thrive support this.
Option by option
A. Sweat chloride test (correct)
Correct. Cystic fibrosis must be excluded in a child with polyps.
B. Skin prick test only
Skin prick tests will not explain the chest problems.
C. Serum IgE for aspergillus
Aspergillus IgE is for allergic fungal disease.
D. Mantoux test
Mantoux tests for tuberculosis.
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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