Try it
ENT · Head and neck oncology
Sample itemWhich neck mass should be considered malignant until proven otherwise in an adult?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Persistent lateral cervical lymph node enlargement
A persistent adult lateral neck mass may represent metastatic head and neck cancer and warrants timely imaging, endoscopy, and tissue diagnosis.
Option by option
A. Tender node resolving after dental infection
A resolving reactive node is less concerning.
B. Small mobile cyst present since childhood
Longstanding congenital cysts have a different pattern.
C. Persistent lateral cervical lymph node enlargement (correct)
Correct: persistent adult cervical nodes require malignancy evaluation.
D. Brief sternocleidomastoid spasm
Muscle spasm is not a neck mass.
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
- Head and neck oncologyA 60-year-old smoker has hoarseness for six weeks. Laryngoscopy shows a small lesion on…
- Head and neck oncologyA 55-year-old non-smoker has a painless, cystic level II neck mass. FNAC shows squamous…
- Head and neck oncologyWhich test establishes the diagnosis of a suspicious cervical lymph node most directly?
- Head and neck oncologyWhich thyroid-nodule feature requires urgent cancer evaluation?