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Anatomy · Head and neck
Sample itemA child has recurrent bleeding from the front of the nasal septum. Which arterial anastomosis in the anterior septum is the likely source?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Kiesselbach plexus
Kiesselbach plexus in Little's area joins the anterior ethmoidal, sphenopalatine, greater palatine and septal branch of the superior labial arteries. Posterior bleeds come from the Woodruff plexus under the inferior turbinate.
Option by option
A. Anterior ethmoidal artery alone
The anterior ethmoidal artery is only one contributor to the plexus, not the anastomosis itself.
B. Pterygoid venous plexus
The pterygoid plexus is a venous network in the infratemporal fossa and does not supply the septum.
C. Woodruff plexus
Woodruff plexus lies posteriorly and causes posterior epistaxis.
D. Kiesselbach plexus (correct)
Correct. Little's area contains Kiesselbach plexus.
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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