15th April 2024

A 25-year-old gentleman presents to your general practice along with his 26-year-old female partner.

A 25-year-old gentleman presents to your general practice along with his 26-year-old female partner. They have been trying for a child for the past 2 years. You perform a detailed history and examination, the physical examination reveals that he has scars from cleft lip surgery during his childhood. You decide to do the cranial nerve exam and mention that the function of the first nerve is for smell. The gentleman tells you that his ability to smell has always been quite poor.  What is the likely source of the pathology causing this man’s symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.