Head and neck tumours: Kimura disease: 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 tumours: Kimura disease

Sample item

A 25-year-old man has multiple painless subcutaneous masses around the parotid and periauricular regions with enlarged regional nodes. Blood tests show marked peripheral eosinophilia and a high IgE. Which diagnosis fits?

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

The answer and the reasoning

D. Kimura disease

Kimura disease is a chronic inflammatory disorder seen mainly in young Asian men and presents with head and neck swellings, regional lymphadenopathy, eosinophilia and raised IgE. Renal involvement can occur. Treatment includes surgery, steroids or radiotherapy, and recurrence is common.

Option by option

  • A. Pleomorphic adenoma

    A pleomorphic adenoma is a solitary parotid mass without eosinophilia.

  • B. Sjogren syndrome

    Sjogren syndrome causes dryness and glandular infiltration, not eosinophilia.

  • C. Tuberculous adenitis

    Tuberculous adenitis presents with matted nodes and systemic features.

  • D. Kimura disease (correct)

    Correct. Eosinophilia and raised IgE with periauricular masses suggest Kimura disease.

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 D, Kimura disease. Kimura disease is a chronic inflammatory disorder seen mainly in young Asian men and presents with head and neck swellings, regional lymphadenopathy, eosinophilia and raised IgE.

Why is "Pleomorphic adenoma" not the answer?

A pleomorphic adenoma is a solitary parotid mass without eosinophilia.

Why is "Sjogren syndrome" not the answer?

Sjogren syndrome causes dryness and glandular infiltration, not eosinophilia.

Why is "Tuberculous adenitis" not the answer?

Tuberculous adenitis presents with matted nodes and systemic features.

What concept does this question test?

It tests Head and neck tumours: Kimura disease in ENT. Renal involvement can occur. Treatment includes surgery, steroids or radiotherapy, and recurrence is common.

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 tumours: Kimura disease?

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.