Neck: Hodgkin lymphoma: 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 · Neck: Hodgkin lymphoma

Sample item

A 25-year-old has painless rubbery cervical lymphadenopathy, fever and night sweats. Which cell is diagnostic on histology?

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

The answer and the reasoning

A. Reed-Sternberg cell

Reed-Sternberg cells, binucleate owl-eye cells, are the diagnostic feature of Hodgkin lymphoma. Excision biopsy of the node is preferred over FNAC for lymphoma. Mikulicz cells are in rhinoscleroma and Langhans cells in tuberculosis.

Option by option

  • A. Reed-Sternberg cell (correct)

    Correct. Reed-Sternberg cells define Hodgkin lymphoma.

  • B. Mikulicz cell

    Mikulicz cells characterise rhinoscleroma.

  • C. Langhans giant cell

    Langhans cells are seen in tuberculosis.

  • D. Aschoff cell

    Aschoff cells are seen in rheumatic carditis.

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 A, Reed-Sternberg cell. Reed-Sternberg cells, binucleate owl-eye cells, are the diagnostic feature of Hodgkin lymphoma.

Why is "Mikulicz cell" not the answer?

Mikulicz cells characterise rhinoscleroma.

Why is "Langhans giant cell" not the answer?

Langhans cells are seen in tuberculosis.

Why is "Aschoff cell" not the answer?

Aschoff cells are seen in rheumatic carditis.

What concept does this question test?

It tests Neck: Hodgkin lymphoma in ENT. Excision biopsy of the node is preferred over FNAC for lymphoma. Mikulicz cells are in rhinoscleroma and Langhans cells in tuberculosis.

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 Neck: Hodgkin lymphoma?

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.