Head and neck: Delphian node: 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 · Head and neck: Delphian node

Sample item

A surgeon finds an enlarged prelaryngeal lymph node during surgery for a laryngeal tumour. What is this node called and what does it indicate?

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

The answer and the reasoning

B. Delphian node, suggesting extralaryngeal spread through the cricothyroid membrane

The Delphian node lies on the cricothyroid membrane anterior to the larynx (level VI) and may be involved by subglottic or glottic tumours or thyroid cancer. Its involvement indicates extralaryngeal spread. It must be removed during surgery.

Option by option

  • A. Jugulodigastric node, suggesting tonsil cancer

    The jugulodigastric node is a level II node.

  • B. Delphian node, suggesting extralaryngeal spread through the cricothyroid membrane (correct)

    Correct. It is the prelaryngeal node.

  • C. Rotter's node, suggesting breast cancer

    Rotter's nodes are interpectoral nodes of the breast.

  • D. Virchow's node, suggesting gastric cancer

    Virchow's node lies in the left supraclavicular fossa.

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.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Delphian node, suggesting extralaryngeal spread through the cricothyroid membrane. The Delphian node lies on the cricothyroid membrane anterior to the larynx (level VI) and may be involved by subglottic or glottic tumours or thyroid cancer.

Why is "Jugulodigastric node, suggesting tonsil cancer" not the answer?

The jugulodigastric node is a level II node.

Why is "Rotter's node, suggesting breast cancer" not the answer?

Rotter's nodes are interpectoral nodes of the breast.

Why is "Virchow's node, suggesting gastric cancer" not the answer?

Virchow's node lies in the left supraclavicular fossa.

What concept does this question test?

It tests Head and neck: Delphian node in ENT. Its involvement indicates extralaryngeal spread. It must be removed during surgery.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Head and neck: Delphian node?

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.