GP empyema and thoracic dz present with ______ purulent nasal discharge.

• A. Unilateral
• B. Bilateral
• C. Intermittent
• D. Mucopurulent

Answer: (B)

Bilateral purulent nasal discharge shows that both sides of the nasal passages are producing pus, which fits a situation where both guttural pouches are involved or drainage is coming from both sides due to a bilateral process. The guttural pouches are paired structures, and when infection affects one pouch it often yields discharge from the corresponding nostril, but when both pouches are affected—or when there’s concurrent thoracic disease driving widespread drainage—you’ll see discharge from both nostrils. In contrast, unilateral discharge points to a single-sided source, intermittent suggests irregular drainage, and mucopurulent implies mucus-rich secretions rather than pure pus.