Nose: inverted papilloma: 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: inverted papilloma

Sample item

A 55-year-old man has unilateral nasal obstruction with a warty polypoid mass arising from the lateral nasal wall. Biopsy shows inverted papilloma. What is the best treatment?

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

The answer and the reasoning

C. Endoscopic medial maxillectomy with complete excision

Inverted (Schneiderian) papilloma has a high recurrence rate if incompletely removed and can harbour or progress to squamous cell carcinoma. Complete excision with subperiosteal removal of the attachment, often by medial maxillectomy, is needed.

Option by option

  • A. Radiotherapy alone

    Radiotherapy is not first-line for benign disease.

  • B. Simple polypectomy

    Simple polypectomy leaves the origin and recurs.

  • C. Endoscopic medial maxillectomy with complete excision (correct)

    Correct. Complete excision of the attachment minimises recurrence.

  • D. Observation

    Observation risks malignant change.

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, Endoscopic medial maxillectomy with complete excision. Inverted (Schneiderian) papilloma has a high recurrence rate if incompletely removed and can harbour or progress to squamous cell carcinoma.

Why is "Radiotherapy alone" not the answer?

Radiotherapy is not first-line for benign disease.

Why is "Simple polypectomy" not the answer?

Simple polypectomy leaves the origin and recurs.

Why is "Observation" not the answer?

Observation risks malignant change.

What concept does this question test?

It tests Nose: inverted papilloma in ENT. Complete excision with subperiosteal removal of the attachment, often by medial maxillectomy, is needed.

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: inverted papilloma?

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.