Nasopharynx: Trotter's triad: 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: Trotter's triad

Sample item

Which combination constitutes Trotter's triad of nasopharyngeal carcinoma?

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

The answer and the reasoning

D. Conductive deafness, ipsilateral immobility of the soft palate and trigeminal neuralgia

Trotter's triad results from tumour extension to the parapharyngeal space around the eustachian tube, levator veli palatini and mandibular nerve. It indicates the tumour has extended beyond the nasopharynx.

Option by option

  • A. Epistaxis, proptosis and cheek swelling

    This combination suggests juvenile angiofibroma or maxillary tumour.

  • B. Diplopia, ptosis and facial palsy

    This combination suggests cavernous sinus lesions.

  • C. Hoarseness, dysphagia and neck mass

    This combination suggests hypopharyngeal or laryngeal pathology.

  • D. Conductive deafness, ipsilateral immobility of the soft palate and trigeminal neuralgia (correct)

    Correct. This describes Trotter's triad.

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, Conductive deafness, ipsilateral immobility of the soft palate and trigeminal neuralgia. Trotter's triad results from tumour extension to the parapharyngeal space around the eustachian tube, levator veli palatini and mandibular nerve.

Why is "Epistaxis, proptosis and cheek swelling" not the answer?

This combination suggests juvenile angiofibroma or maxillary tumour.

Why is "Diplopia, ptosis and facial palsy" not the answer?

This combination suggests cavernous sinus lesions.

Why is "Hoarseness, dysphagia and neck mass" not the answer?

This combination suggests hypopharyngeal or laryngeal pathology.

What concept does this question test?

It tests Nasopharynx: Trotter's triad in ENT. It indicates the tumour has extended beyond the nasopharynx.

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 Nasopharynx: Trotter's triad?

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.