This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Epistaxis, Subject name: ENT
Recurrent epistaxis in a 15-year-old female the probable cause is: 
Select and explain. 
A. Juvenile nasopharyngeal fibroma, B. Rhinosporidiosis, C. Foreign body, D. Haematological disorder
D: Haematological disorder
Answer: D: Haematological disorder 
Explanation: (d) Haematological disorder(Ref. Cummings, 6th ed., 680)Juvenile nasopharyngeal fibroma is seen typically in adolescent males.In Rhinosporidiosis there is nasal obstruction along with epistaxis and a history of taking bath in ponds frequented by animals is present.Foreign body is not seen at this age.So the probable cause here is haematological disorder. In this regard the patient should be asked regarding bleeding from any other site also.Characteristically haematological disorders present with bleeding from multiple sites.