Head and neck: olfactory neuroblastoma: 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: olfactory neuroblastoma

Sample item

A tumour arising from the olfactory neuroepithelium in the upper nasal cavity, with Homer Wright rosettes on histology, is called what?

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

The answer and the reasoning

D. Esthesioneuroblastoma

Olfactory neuroblastoma arises at the cribriform plate region, presents with nasal obstruction and epistaxis, and is staged with the Kadish system. Treatment is craniofacial resection with radiotherapy.

Option by option

  • A. Inverted papilloma

    Inverted papilloma is a benign epithelial tumour of the lateral wall.

  • B. Juvenile angiofibroma

    Juvenile angiofibroma arises in the sphenopalatine foramen region of adolescent males.

  • C. Adenoid cystic carcinoma

    Adenoid cystic carcinoma arises from minor salivary glands.

  • D. Esthesioneuroblastoma (correct)

    Correct. Esthesioneuroblastoma shows Homer Wright rosettes.

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, Esthesioneuroblastoma. Olfactory neuroblastoma arises at the cribriform plate region, presents with nasal obstruction and epistaxis, and is staged with the Kadish system.

Why is "Inverted papilloma" not the answer?

Inverted papilloma is a benign epithelial tumour of the lateral wall.

Why is "Juvenile angiofibroma" not the answer?

Juvenile angiofibroma arises in the sphenopalatine foramen region of adolescent males.

Why is "Adenoid cystic carcinoma" not the answer?

Adenoid cystic carcinoma arises from minor salivary glands.

What concept does this question test?

It tests Head and neck: olfactory neuroblastoma in ENT. Treatment is craniofacial resection with radiotherapy.

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: olfactory neuroblastoma?

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.