Nose: nasal dermoid: 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: nasal dermoid

Sample item

A child has a midline pit on the nasal dorsum from which hair emerges and from which there is recurrent discharge. What should be done before surgery?

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

The answer and the reasoning

A. CT or MRI to look for intracranial extension

Nasal dermoids may have a tract extending through the foramen caecum into the anterior cranial fossa. Imaging prior to excision prevents incomplete removal and meningitis. The cyst arises from sequestration of ectoderm.

Option by option

  • A. CT or MRI to look for intracranial extension (correct)

    Correct. Imaging defines intracranial extension.

  • B. Antibiotics alone

    Antibiotics do not remove the tract.

  • C. Simple cautery

    Cautery will not remove the tract.

  • D. Immediate probing

    Probing risks infection and meningitis.

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 A, CT or MRI to look for intracranial extension. Nasal dermoids may have a tract extending through the foramen caecum into the anterior cranial fossa.

Why is "Antibiotics alone" not the answer?

Antibiotics do not remove the tract.

Why is "Simple cautery" not the answer?

Cautery will not remove the tract.

Why is "Immediate probing" not the answer?

Probing risks infection and meningitis.

What concept does this question test?

It tests Nose: nasal dermoid in ENT. Imaging prior to excision prevents incomplete removal and meningitis. The cyst arises from sequestration of ectoderm.

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: nasal dermoid?

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.