Head and neck: premalignant lesions: 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 · Head and neck: premalignant lesions

Sample item

Which statement about oral leukoplakia and erythroplakia is correct?

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

The answer and the reasoning

A. Erythroplakia has a higher risk of malignant transformation than leukoplakia

Erythroplakia, a red velvety patch, frequently shows severe dysplasia or carcinoma in situ and carries a higher risk than leukoplakia. Persistent lesions need biopsy, and tobacco habits should be stopped.

Option by option

  • A. Erythroplakia has a higher risk of malignant transformation than leukoplakia (correct)

    Correct. Erythroplakia is more likely to be dysplastic or malignant.

  • B. Leukoplakia is always malignant

    Leukoplakia is only sometimes malignant.

  • C. Erythroplakia is harmless

    Erythroplakia is high risk.

  • D. Neither requires biopsy

    Biopsy is required for suspicious lesions.

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 A, Erythroplakia has a higher risk of malignant transformation than leukoplakia. Erythroplakia, a red velvety patch, frequently shows severe dysplasia or carcinoma in situ and carries a higher risk than leukoplakia.

Why is "Leukoplakia is always malignant" not the answer?

Leukoplakia is only sometimes malignant.

Why is "Erythroplakia is harmless" not the answer?

Erythroplakia is high risk.

Why is "Neither requires biopsy" not the answer?

Biopsy is required for suspicious lesions.

What concept does this question test?

It tests Head and neck: premalignant lesions in ENT. Persistent lesions need biopsy, and tobacco habits should be stopped.

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 Head and neck: premalignant lesions?

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.