Hypopharynx: Plummer-Vinson syndrome: 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 · Hypopharynx: Plummer-Vinson syndrome

Sample item

A middle-aged woman has dysphagia, glossitis, koilonychia and microcytic anaemia. What lesion is seen on barium swallow?

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

The answer and the reasoning

C. Post-cricoid web

Plummer-Vinson (Paterson-Brown-Kelly) syndrome combines iron deficiency anaemia with a post-cricoid web. Iron replacement and dilatation are the treatment. It carries a risk of post-cricoid carcinoma.

Option by option

  • A. Pyriform fossa tumour

    A tumour of the pyriform fossa is not the associated lesion.

  • B. Zenker's diverticulum

    A diverticulum gives regurgitation in the elderly.

  • C. Post-cricoid web (correct)

    Correct. A postcricoid web fits.

  • D. Achalasia

    Achalasia shows a bird's beak.

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, Post-cricoid web. Plummer-Vinson (Paterson-Brown-Kelly) syndrome combines iron deficiency anaemia with a post-cricoid web.

Why is "Pyriform fossa tumour" not the answer?

A tumour of the pyriform fossa is not the associated lesion.

Why is "Zenker's diverticulum" not the answer?

A diverticulum gives regurgitation in the elderly.

Why is "Achalasia" not the answer?

Achalasia shows a bird's beak.

What concept does this question test?

It tests Hypopharynx: Plummer-Vinson syndrome in ENT. Iron replacement and dilatation are the treatment. It carries a risk of post-cricoid carcinoma.

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 Hypopharynx: Plummer-Vinson syndrome?

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.