Nose and paranasal sinuses: rhinosporidiosis treatment: 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: rhinosporidiosis treatment

Sample item

A farmer who bathed in a village pond has a red, friable, polypoidal nasal mass with white dots on the surface. What is the preferred treatment?

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

The answer and the reasoning

B. Surgical excision with cauterisation of the base

Rhinosporidiosis is caused by Rhinosporidium seeberi, and the treatment is wide surgical excision with cauterisation of the base to reduce recurrence. Dapsone may be used as an adjunct.

Option by option

  • A. Oral antifungal alone

    Oral antifungals are ineffective as the organism is a protistan.

  • B. Surgical excision with cauterisation of the base (correct)

    Correct. Excision with cautery of the base is the treatment of choice.

  • C. Systemic corticosteroids

    Steroids do not treat the infection.

  • D. Radiotherapy

    Radiotherapy is not indicated for this benign infection.

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 B, Surgical excision with cauterisation of the base. Rhinosporidiosis is caused by Rhinosporidium seeberi, and the treatment is wide surgical excision with cauterisation of the base to reduce recurrence.

Why is "Oral antifungal alone" not the answer?

Oral antifungals are ineffective as the organism is a protistan.

Why is "Systemic corticosteroids" not the answer?

Steroids do not treat the infection.

Why is "Radiotherapy" not the answer?

Radiotherapy is not indicated for this benign infection.

What concept does this question test?

It tests Nose and paranasal sinuses: rhinosporidiosis treatment in ENT. Dapsone may be used as an adjunct.

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 and paranasal sinuses: rhinosporidiosis treatment?

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.