Airway: tracheal tumour types: 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 · Airway: tracheal tumour types

Sample item

Which statement about primary tracheal tumours in adults is correct?

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

The answer and the reasoning

C. Squamous cell carcinoma and adenoid cystic carcinoma are the two commonest malignant types

Squamous carcinoma is commonest in smokers and adenoid cystic carcinoma is the next, often arising in the lower trachea in younger patients, with slow growth and perineural spread. They present late with stridor, wheeze or cough misdiagnosed as asthma. Resection with tracheal reconstruction is the main treatment.

Option by option

  • A. Lymphoma is the commonest

    Lymphoma is not the commonest primary.

  • B. They usually present with early dysphagia

    Respiratory symptoms rather than dysphagia usually dominate.

  • C. Squamous cell carcinoma and adenoid cystic carcinoma are the two commonest malignant types (correct)

    Correct. These two types account for most tracheal malignancies.

  • D. Most are benign papillomas

    Benign tumours are less common than malignant ones in adults.

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 C, Squamous cell carcinoma and adenoid cystic carcinoma are the two commonest malignant types. Squamous carcinoma is commonest in smokers and adenoid cystic carcinoma is the next, often arising in the lower trachea in younger patients, with slow growth and perineural spread.

Why is "Lymphoma is the commonest" not the answer?

Lymphoma is not the commonest primary.

Why is "They usually present with early dysphagia" not the answer?

Respiratory symptoms rather than dysphagia usually dominate.

Why is "Most are benign papillomas" not the answer?

Benign tumours are less common than malignant ones in adults.

What concept does this question test?

It tests Airway: tracheal tumour types in ENT. They present late with stridor, wheeze or cough misdiagnosed as asthma. Resection with tracheal reconstruction is the main treatment.

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 Airway: tracheal tumour types?

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.