Neck: nodes of Rouviere: 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 · Neck: nodes of Rouviere

Sample item

A patient with nasopharyngeal carcinoma has a retropharyngeal lymph node on MRI. Which node is the first echelon station for the nasopharynx in this region?

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

The answer and the reasoning

C. Lateral retropharyngeal node of Rouviere

The lateral retropharyngeal nodes (Rouviere) lie at the level of the first two cervical vertebrae and drain the nasopharynx, posterior nasal cavity and eustachian tube. They are often involved early in nasopharyngeal carcinoma and are not palpable, so imaging is needed.

Option by option

  • A. Submental node

    Submental nodes drain the chin and floor of mouth.

  • B. Prelaryngeal node

    Prelaryngeal nodes drain the anterior subglottis and thyroid.

  • C. Lateral retropharyngeal node of Rouviere (correct)

    Correct. Rouviere's node is the first-station retropharyngeal node.

  • D. Level VI paratracheal node

    Paratracheal nodes drain the subglottis, thyroid and cervical oesophagus.

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 C, Lateral retropharyngeal node of Rouviere. The lateral retropharyngeal nodes (Rouviere) lie at the level of the first two cervical vertebrae and drain the nasopharynx, posterior nasal cavity and eustachian tube.

Why is "Submental node" not the answer?

Submental nodes drain the chin and floor of mouth.

Why is "Prelaryngeal node" not the answer?

Prelaryngeal nodes drain the anterior subglottis and thyroid.

Why is "Level VI paratracheal node" not the answer?

Paratracheal nodes drain the subglottis, thyroid and cervical oesophagus.

What concept does this question test?

It tests Neck: nodes of Rouviere in ENT. They are often involved early in nasopharyngeal carcinoma and are not palpable, so imaging is needed.

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 Neck: nodes of Rouviere?

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.