Head and neck tumours: occupational sinonasal carcinoma: 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: occupational sinonasal carcinoma

Sample item

A 52-year-old man worked for decades in a nickel refinery. Which sinonasal malignancy is he at increased risk of?

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

The answer and the reasoning

B. Squamous cell carcinoma

Nickel exposure is associated with sinonasal squamous cell carcinoma. Hardwood and leather dust are linked instead to ethmoid adenocarcinoma. Melanoma and esthesioneuroblastoma have no recognised occupational association.

Option by option

  • A. Esthesioneuroblastoma

    Esthesioneuroblastoma has no occupational link.

  • B. Squamous cell carcinoma (correct)

    Correct. Nickel refining is linked with sinonasal squamous carcinoma.

  • C. Mucosal melanoma

    Mucosal melanoma has no occupational link.

  • D. Adenocarcinoma of the ethmoid

    Ethmoid adenocarcinoma is linked to hardwood and leather dust.

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 B, Squamous cell carcinoma. Nickel exposure is associated with sinonasal squamous cell carcinoma.

Why is "Esthesioneuroblastoma" not the answer?

Esthesioneuroblastoma has no occupational link.

Why is "Mucosal melanoma" not the answer?

Mucosal melanoma has no occupational link.

Why is "Adenocarcinoma of the ethmoid" not the answer?

Ethmoid adenocarcinoma is linked to hardwood and leather dust.

What concept does this question test?

It tests Head and neck tumours: occupational sinonasal carcinoma in ENT. Hardwood and leather dust are linked instead to ethmoid adenocarcinoma. Melanoma and esthesioneuroblastoma have no recognised occupational association.

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 Head and neck tumours: occupational sinonasal carcinoma?

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.