Larynx: recurrent respiratory papillomatosis: 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 · Larynx: recurrent respiratory papillomatosis

Sample item

A 3-year-old has progressive hoarseness and stridor, and laryngoscopy shows multiple warty growths on the cords. Which viral types are responsible?

AHerpes simplex virusBHPV types 16 and 18CHPV types 6 and 11DEpstein-Barr virus

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

The answer and the reasoning

C. HPV types 6 and 11

Recurrent respiratory papillomatosis is caused by HPV 6 and 11, often acquired from the mother's genital tract during birth. Treatment is repeated microdebrider or laser removal with adjuvant therapy such as cidofovir.

Option by option

A. Herpes simplex virus
HSV does not cause papillomas.
B. HPV types 16 and 18
HPV 16 and 18 are high-risk oncogenic types.
C. HPV types 6 and 11 (correct)
Correct. HPV 6 and 11 are the causative types.
D. Epstein-Barr virus
EBV is linked to nasopharyngeal carcinoma.

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.

Questions about this ENT question

What is the answer to this ENT question?

The best answer is C, HPV types 6 and 11. Recurrent respiratory papillomatosis is caused by HPV 6 and 11, often acquired from the mother's genital tract during birth.

Why is "Herpes simplex virus" not the answer?

HSV does not cause papillomas.

Why is "HPV types 16 and 18" not the answer?

HPV 16 and 18 are high-risk oncogenic types.

Why is "Epstein-Barr virus" not the answer?

EBV is linked to nasopharyngeal carcinoma.

What concept does this question test?

It tests Larynx: recurrent respiratory papillomatosis in ENT. Treatment is repeated microdebrider or laser removal with adjuvant therapy such as cidofovir.

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 Larynx: recurrent respiratory papillomatosis?

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.