Nasal foreign body — CCFP MCQ

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HardENT, OphthalmologyNasal foreign bodyCCFP

A 3-year-old has unilateral foul-smelling, blood-stained nasal discharge and no fever. What diagnosis should be prioritized?

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Correct answer: C — Nasal foreign body

Explanation lettering: C = shown as A · E = shown as B · B = shown as C · A = shown as E

B is correct. Unilateral foul-smelling or blood-stained discharge in a young child is classic for a nasal foreign body. C, D, E and A fit less well. Avoid repeated traumatic attempts and arrange careful removal or ENT support if needed.

Reference: Government of Northwest Territories: Paediatric foreign body in the nose clinical practice guideline: https://www.hss.gov.nt.ca/professionals/sites/professionals/files/resources/cpgpccn-ears-nose-throat-pediatric-foreign-body-nose.pdf