Oral cavity: macroglossia: 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 · Oral cavity: macroglossia

Sample item

A newborn has a large tongue that protrudes from the mouth, with exomphalos and hypoglycaemia. Which syndrome is likely?

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

The answer and the reasoning

B. Beckwith-Wiedemann syndrome

Beckwith-Wiedemann syndrome features macroglossia, abdominal wall defects, neonatal hypoglycaemia and organomegaly, with risk of embryonal tumours such as Wilms tumour. Other causes of macroglossia include Down syndrome, hypothyroidism and amyloidosis. Severe cases may need tongue reduction.

Option by option

  • A. Goldenhar syndrome

    Goldenhar syndrome causes hemifacial microsomia.

  • B. Beckwith-Wiedemann syndrome (correct)

    Correct. Macroglossia with exomphalos is characteristic.

  • C. Treacher Collins syndrome

    Treacher Collins causes mandibular and malar hypoplasia.

  • D. Pierre Robin sequence

    Pierre Robin causes a small jaw and glossoptosis.

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 B, Beckwith-Wiedemann syndrome. Beckwith-Wiedemann syndrome features macroglossia, abdominal wall defects, neonatal hypoglycaemia and organomegaly, with risk of embryonal tumours such as Wilms tumour.

Why is "Goldenhar syndrome" not the answer?

Goldenhar syndrome causes hemifacial microsomia.

Why is "Treacher Collins syndrome" not the answer?

Treacher Collins causes mandibular and malar hypoplasia.

Why is "Pierre Robin sequence" not the answer?

Pierre Robin causes a small jaw and glossoptosis.

What concept does this question test?

It tests Oral cavity: macroglossia in ENT. Other causes of macroglossia include Down syndrome, hypothyroidism and amyloidosis. Severe cases may need tongue reduction.

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 Oral cavity: macroglossia?

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.