Nose: hereditary haemorrhagic telangiectasia: 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: hereditary haemorrhagic telangiectasia

Sample item

A man has recurrent spontaneous nosebleeds, small red lesions on the lips and tongue, and a family history of nosebleeds. What is the inheritance pattern?

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

The answer and the reasoning

C. Autosomal dominant

Hereditary haemorrhagic telangiectasia (Osler-Weber-Rendu) is autosomal dominant, involving ENG and ACVRL1 genes. Telangiectasia in the nose, mouth and gut cause bleeding, and pulmonary or cerebral arteriovenous malformations may occur.

Option by option

  • A. X-linked recessive

    It is not X-linked.

  • B. Sporadic only

    It is a hereditary disorder, not sporadic.

  • C. Autosomal dominant (correct)

    Correct. HHT is autosomal dominant.

  • D. Autosomal recessive

    Recessive inheritance is not typical.

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, Autosomal dominant. Hereditary haemorrhagic telangiectasia (Osler-Weber-Rendu) is autosomal dominant, involving ENG and ACVRL1 genes.

Why is "X-linked recessive" not the answer?

It is not X-linked.

Why is "Sporadic only" not the answer?

It is a hereditary disorder, not sporadic.

Why is "Autosomal recessive" not the answer?

Recessive inheritance is not typical.

What concept does this question test?

It tests Nose: hereditary haemorrhagic telangiectasia in ENT. Telangiectasia in the nose, mouth and gut cause bleeding, and pulmonary or cerebral arteriovenous malformations may occur.

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: hereditary haemorrhagic telangiectasia?

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.