Nasopharynx: NPC presentation: 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 · Nasopharynx: NPC presentation

Sample item

What is the commonest presenting feature of nasopharyngeal carcinoma?

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

The answer and the reasoning

C. Painless upper cervical lymph node enlargement

Nasopharyngeal carcinoma, usually arising in the fossa of Rosenmuller, most often presents with a painless upper deep cervical (including posterior triangle) node. Other features are unilateral serous otitis media, epistaxis and cranial nerve palsies.

Option by option

  • A. Hearing loss

    Serous otitis media is common but not the commonest.

  • B. Epistaxis

    Epistaxis is common but less so than the neck mass.

  • C. Painless upper cervical lymph node enlargement (correct)

    Correct. A neck node is the commonest presentation.

  • D. Cranial nerve palsy

    Cranial nerve palsy is a late feature.

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 C, Painless upper cervical lymph node enlargement. Nasopharyngeal carcinoma, usually arising in the fossa of Rosenmuller, most often presents with a painless upper deep cervical (including posterior triangle) node.

Why is "Hearing loss" not the answer?

Serous otitis media is common but not the commonest.

Why is "Epistaxis" not the answer?

Epistaxis is common but less so than the neck mass.

Why is "Cranial nerve palsy" not the answer?

Cranial nerve palsy is a late feature.

What concept does this question test?

It tests Nasopharynx: NPC presentation in ENT. Other features are unilateral serous otitis media, epistaxis and cranial nerve palsies.

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 Nasopharynx: NPC presentation?

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.