External ear: keloid of the earlobe: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · External ear: keloid of the earlobe

Sample item

A 22-year-old woman has a firm, enlarging earlobe keloid following ear piercing. Which approach gives the lowest recurrence?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Excision followed by intralesional steroid or pressure therapy

Keloids extend beyond the original wound and recur after excision in most cases when excision is used alone. Adding intralesional triamcinolone or pressure earrings after excision lowers recurrence. Radiotherapy is reserved for resistant lesions.

Option by option

  • A. Excision followed by intralesional steroid or pressure therapy (correct)

    Correct. Combined treatment reduces recurrence.

  • B. Simple excision alone

    Excision alone has a high recurrence rate.

  • C. Cryotherapy alone

    Cryotherapy alone is less effective for large keloids.

  • D. Antibiotics

    Keloids are not infective.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Excision followed by intralesional steroid or pressure therapy. Keloids extend beyond the original wound and recur after excision in most cases when excision is used alone.

Why is "Simple excision alone" not the answer?

Excision alone has a high recurrence rate.

Why is "Cryotherapy alone" not the answer?

Cryotherapy alone is less effective for large keloids.

Why is "Antibiotics" not the answer?

Keloids are not infective.

What concept does this question test?

It tests External ear: keloid of the earlobe in ENT. Adding intralesional triamcinolone or pressure earrings after excision lowers recurrence. Radiotherapy is reserved for resistant lesions.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study External ear: keloid of the earlobe?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.