Granulomatous Nasal Diseases (Rhinosporidiosis/Rhinoscleroma/Wegener’s) MCQ Quiz | Nose & Paranasal Sinuses

Welcome to the Multiple-Choice Quiz on Granulomatous Nasal Diseases, a key topic in the Nose & Paranasal Sinuses module for MBBS students. This quiz is designed to test your understanding of the etiology, pathophysiology, clinical features, diagnosis, and management of Rhinosporidiosis, Rhinoscleroma, and Granulomatosis with Polyangiitis (Wegener’s Granulomatosis). You will face 25 carefully curated questions that reflect the complexity and clinical relevance of these conditions. After completing the quiz, submit your answers to see your score and review which questions you answered correctly and incorrectly. For your revision, you can also download a PDF document containing all the questions along with their correct answers. Good luck!

1. What is the causative agent of Rhinosporidiosis?

2. A patient presents with a friable, polypoidal, strawberry-like mass in the nasal cavity that bleeds on touch. What is the most likely diagnosis?

3. The characteristic histopathological finding in Rhinosporidiosis is the presence of:

4. What is the primary mode of transmission for Rhinosporidiosis?

5. Which of the following is the treatment of choice for a nasal mass caused by Rhinosporidiosis?

6. The organism *Rhinosporidium seeberi* was recently reclassified as a/an:

7. *Klebsiella rhinoscleromatis* is the causative agent for which granulomatous disease?

8. A patient presents with a history of foul-smelling purulent rhinorrhea and crusting, followed by the development of non-ulcerative granulomatous nodules. Which stage of rhinoscleroma is this?

9. The pathognomonic histological feature of Rhinoscleroma is the presence of:

10. What are Russell bodies, often seen in the histology of Rhinoscleroma?

11. Which antibiotic is traditionally considered a key component in the medical management of Rhinoscleroma?

12. The final, sclerotic stage of Rhinoscleroma is characterized by:

13. Wegener’s Granulomatosis is now more accurately termed:

14. Which serological marker is most specifically associated with Granulomatosis with Polyangiitis (Wegener’s)?

15. A patient presents with nasal crusting, epistaxis, and a saddle nose deformity. Which of the following conditions is the most likely cause?

16. The classic triad of organ involvement in Wegener’s Granulomatosis (GPA) involves the upper respiratory tract, lungs, and:

17. The underlying pathology in Wegener’s Granulomatosis (GPA) is best described as:

18. Which of the following is the gold standard for diagnosing Granulomatosis with Polyangiitis (GPA)?

19. For induction of remission in severe, organ-threatening GPA, the standard treatment regimen often includes high-dose corticosteroids combined with:

20. A biopsy from a nasal lesion shows large vacuolated macrophages (Mikulicz cells) containing intracellular bacilli. This finding is diagnostic of:

21. Which of the following conditions is NOT caused by a bacterium?

22. Saddle nose deformity can be a feature of all of the following EXCEPT:

23. A “Hebra nose” refers to the broad, flattened nasal appearance seen in the advanced stages of:

24. Which of these diseases is an autoimmune, pauci-immune small-vessel vasculitis?

25. Treatment with dapsone may be used as an adjunct to surgery in which of the following conditions to prevent recurrence?