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EN4.{27,31-34} | Sinonasal Inflammation and Tumours — Assignment

Grading Rubric — Sinonasal Inflammation and Tumours — Assignment Rubric

Criterion	Points	Full-marks descriptor
EN4.27 & EN4.32 — Diagnosis and Management of Sinonasal Inflammatory Conditions	8 pts	Exceeds: Correctly distinguishes ethmoidal from antrochoanal polyp (laterality, origin, age group); accurately describes Samter's triad with mechanism; correctly classifies the Chandler orbital complication stage and justifies urgent management with specific steps
EN4.31 — Juvenile Nasopharyngeal Angiofibroma (JNA): Investigation and Management	6 pts	Exceeds: Explicitly states biopsy is absolutely contraindicated with correct reasoning (haemorrhage from high vascularity); correctly names contrast CT as first-line investigation and pre-operative embolisation as the mandatory pre-surgical step; names the feeding vessel
EN4.33 & EN4.34 — Sinonasal Tumours and Granulomatous Disease: Diagnosis and Red Flags	4 pts	Exceeds: Correctly names the red flag triad for sinonasal malignancy (unilateral + blood-stained discharge + bone erosion); correctly distinguishes GPA from nasal TB histologically (necrotising vs caseating granulomata, ANCA vs AFB) with treatment principle for each
Quality of Clinical Reasoning and Communication	2 pts	Exceeds: Responses are structured, clinically reasoned, and free of factual contradictions; headings used; clinical priority clearly stated