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ENT · Head and neck: lymphatic drainage
Sample itemCarcinoma of the tip of the tongue first drains to which nodes?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Submental nodes
The tip of the tongue drains to the submental nodes and may bypass to the jugulo-omohyoid nodes. The lateral tongue drains to submandibular and upper deep cervical nodes, and the posterior third to jugulodigastric nodes.
Option by option
A. Preauricular nodes
Preauricular nodes drain the scalp and face.
B. Supraclavicular nodes
Supraclavicular nodes are a late echelon.
C. Submental nodes (correct)
Correct. The tip drains to the submental nodes.
D. Retropharyngeal nodes
Retropharyngeal nodes drain the nasopharynx and posterior pharynx.
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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