Nose: atrophic rhinitis: 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: atrophic rhinitis

Sample item

A young woman has a roomy nasal cavity with green crusts and a foul smell that she cannot herself perceive. Which organism is classically associated?

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

The answer and the reasoning

A. Klebsiella ozaenae

Primary atrophic rhinitis (ozaena) shows atrophy of the mucosa and turbinates, thick crusts, foul odour and anosmia, with Klebsiella ozaenae commonly isolated. Treatment includes alkaline nasal douches, local antibiotics and occasionally Young's operation.

Option by option

  • A. Klebsiella ozaenae (correct)

    Correct. Klebsiella ozaenae is the classic association.

  • B. Pseudomonas aeruginosa

    Pseudomonas is not the classic organism.

  • C. Haemophilus influenzae

    H. influenzae causes sinusitis and otitis media.

  • D. Staphylococcus aureus

    S. aureus is not typical for ozaena.

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, Klebsiella ozaenae. Primary atrophic rhinitis (ozaena) shows atrophy of the mucosa and turbinates, thick crusts, foul odour and anosmia, with Klebsiella ozaenae commonly isolated.

Why is "Pseudomonas aeruginosa" not the answer?

Pseudomonas is not the classic organism.

Why is "Haemophilus influenzae" not the answer?

H. influenzae causes sinusitis and otitis media.

Why is "Staphylococcus aureus" not the answer?

S. aureus is not typical for ozaena.

What concept does this question test?

It tests Nose: atrophic rhinitis in ENT. Treatment includes alkaline nasal douches, local antibiotics and occasionally Young's operation.

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: atrophic rhinitis?

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.