Nasopharynx: angiofibroma imaging: 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 · Nasopharynx: angiofibroma imaging

Sample item

On CT of an adolescent boy with recurrent profuse epistaxis and a nasopharyngeal mass, the posterior wall of the maxillary sinus is bowed forward. What is this sign called?

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

The answer and the reasoning

D. Holman-Miller sign

Anterior bowing of the posterior maxillary wall (Holman-Miller sign) is characteristic of juvenile nasopharyngeal angiofibroma. Biopsy is avoided because of torrential bleeding, and preoperative embolisation helps surgery.

Option by option

  • A. Steeple sign

    The steeple sign is seen in croup.

  • B. Tear drop sign

    The tear drop sign is seen in orbital floor fracture.

  • C. Thumb sign

    The thumb sign is seen in epiglottitis.

  • D. Holman-Miller sign (correct)

    Correct. The Holman-Miller sign is typical of angiofibroma.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is D, Holman-Miller sign. Anterior bowing of the posterior maxillary wall (Holman-Miller sign) is characteristic of juvenile nasopharyngeal angiofibroma.

Why is "Steeple sign" not the answer?

The steeple sign is seen in croup.

Why is "Tear drop sign" not the answer?

The tear drop sign is seen in orbital floor fracture.

Why is "Thumb sign" not the answer?

The thumb sign is seen in epiglottitis.

What concept does this question test?

It tests Nasopharynx: angiofibroma imaging in ENT. Biopsy is avoided because of torrential bleeding, and preoperative embolisation helps surgery.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Nasopharynx: angiofibroma imaging?

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.