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ENT · Head and neck
Sample itemWhat should a painless persistent adult neck mass raise concern for?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Head and neck malignancy
An adult neck mass persisting without clear infection may represent metastatic lymphadenopathy or primary tumor and requires structured evaluation rather than delay.
Option by option
A. Head and neck malignancy (correct)
Correct: persistent painless neck mass is a malignancy red flag.
B. Refractive error
Refractive error does not form a neck mass.
C. Simple cerumen
Cerumen causes ear-canal symptoms, not a neck mass.
D. Acute glaucoma
Glaucoma is an eye disorder.
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.