FCPS Part 1 ENT: Nose & Sinus MCQs — High-Yield Concepts

Practice MCQs on the nose and paranasal sinuses for FCPS Part 1 ENT: epistaxis, sinusitis, polyps, septal disease and tumours.

Nose and paranasal sinuses are the largest ENT subject in HighYield's FCPS Part 1 bank, at roughly 990 questions. Anatomy of the lateral nasal wall and its drainage, epistaxis, sinusitis, polyps and septal disease all recur. Here is a sample set.

Anatomy and Drainage

1. The nasolacrimal duct opens into the:

A) Inferior meatus ✅
B) Middle meatus
C) Superior meatus
D) Sphenoethmoidal recess

2. The sphenoid sinus drains into the:

A) Middle meatus
B) Superior meatus
C) Sphenoethmoidal recess ✅
D) Inferior meatus

Epistaxis and Septal Disease

3. A hypertensive elderly patient with severe posterior epistaxis and a heart rate of 130 first needs:

A) Anterior nasal pack
B) Resuscitation and antishock measures ✅
C) Ligation of the external carotid
D) Antibiotics

4. Bilateral cautery of Little's area at the same sitting may cause:

A) Atrophic rhinitis
B) Septal perforation ✅
C) Anosmia
D) Nasal polyps

5. A septal haematoma is treated by:

A) Observation
B) Aspiration only
C) Incision, drainage and packing with antibiotics ✅
D) Antihistamines

Polyps, Sinusitis and Tumours

6. Bilateral ethmoidal polyps are commonly associated with:

A) Rheumatic fever
B) Bronchial asthma and aspirin sensitivity ✅
C) Diabetes insipidus
D) Hypertension

7. A unilateral polyp hanging into the choana in a young patient is:

A) Ethmoidal polyp
B) Antrochoanal polyp ✅
C) Inverted papilloma
D) Angiofibroma

8. Recurrent severe epistaxis in an adolescent boy with a nasopharyngeal mass suggests:

A) Nasopharyngeal carcinoma
B) Juvenile nasopharyngeal angiofibroma ✅
C) Adenoids
D) Antrochoanal polyp

Why the Nose Is Worth Extra Time

Nose questions are usually clinical scenarios with a clear best answer: unilateral versus bilateral, child versus adult, and first step versus definitive treatment. Practise reading the scenario before the options.

The free sample on the Nose & Paranasal Sinuses subject page gives you the same format as the full bank.

Practise With Explanations

HighYield's FCPS Part 1 ENT QBank has 3,700+ MCQs across ear, nose and paranasal sinuses, larynx and airway, pharynx and oral cavity, and head and neck, plus the shared basic sciences. Every question has a written explanation, and subject analytics show which region needs another pass. Your first 20 questions are free, no card required. For the ear, see our Ear MCQs post.

Frequently Asked Questions

Is the nose high-yield for FCPS Part 1 ENT?

Yes. At roughly 990 questions it is the largest ENT-specific subject in our bank.

What is the commonest cause of epistaxis?

It is most often idiopathic and arises from Little's area on the anterior septum; hypertension is an important cause in older patients.