Nose and paranasal sinuses: dacryocystocele: 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 and paranasal sinuses: dacryocystocele

Sample item

A newborn has a bluish swelling just below the medial canthus and a small cyst visible in the nose, causing noisy breathing during feeds. What is the most likely diagnosis?

ADacryocystoceleBNasal gliomaCCapillary haemangiomaDFrontoethmoidal encephalocele

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

The answer and the reasoning

A. Dacryocystocele

A dacryocystocele is a distended lacrimal sac caused by obstruction at both ends of the nasolacrimal system. It may be linked to an intranasal cyst that blocks the airway in a neonate, an obligate nose breather. Treatment is massage or probing and endoscopic marsupialisation if there is respiratory distress.

Option by option

A. Dacryocystocele (correct)
Correct. A bluish swelling below the medial canthus with an intranasal cyst is a dacryocystocele.
B. Nasal glioma
A nasal glioma is a firm non-compressible mass at the nasal bridge.
C. Capillary haemangioma
A haemangioma is a red compressible lesion that grows in infancy.
D. Frontoethmoidal encephalocele
An encephalocele lies above the medial canthus at the nasal root and pulsates with crying.

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.

Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Dacryocystocele. A dacryocystocele is a distended lacrimal sac caused by obstruction at both ends of the nasolacrimal system.

Why is "Nasal glioma" not the answer?

A nasal glioma is a firm non-compressible mass at the nasal bridge.

Why is "Capillary haemangioma" not the answer?

A haemangioma is a red compressible lesion that grows in infancy.

Why is "Frontoethmoidal encephalocele" not the answer?

An encephalocele lies above the medial canthus at the nasal root and pulsates with crying.

What concept does this question test?

It tests Nose and paranasal sinuses: dacryocystocele in ENT. It may be linked to an intranasal cyst that blocks the airway in a neonate, an obligate nose breather. Treatment is massage or probing and endoscopic marsupialisation if there is respiratory distress.

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 Nose and paranasal sinuses: dacryocystocele?

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.