Head and neck tumours: benign lymphoepithelial cysts in HIV: 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 tumours: benign lymphoepithelial cysts in HIV

Sample item

A 32-year-old man with HIV has painless bilateral parotid swelling. Ultrasound shows multiple cystic lesions with cervical lymphadenopathy. FNAC shows lymphocytes and no malignancy. What is the diagnosis?

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

The answer and the reasoning

A. Benign lymphoepithelial cysts of HIV

Multiple bilateral cystic parotid lesions with lymphoid cells in an HIV patient are benign lymphoepithelial cysts. Antiretroviral therapy often shrinks them. Warthin tumour occurs in older smokers and is usually solitary.

Option by option

  • A. Benign lymphoepithelial cysts of HIV (correct)

    Correct. Bilateral cystic parotid lesions with lymphoid cells in HIV are benign lymphoepithelial cysts.

  • B. Warthin tumour

    Warthin tumour is typically in older male smokers and is not cystic and bilateral with HIV.

  • C. Sjogren syndrome

    Sjogren syndrome features dry eyes and mouth with autoantibodies.

  • D. Parotid lymphoma

    Lymphoma would show atypical cells and a solid mass.

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, Benign lymphoepithelial cysts of HIV. Multiple bilateral cystic parotid lesions with lymphoid cells in an HIV patient are benign lymphoepithelial cysts.

Why is "Warthin tumour" not the answer?

Warthin tumour is typically in older male smokers and is not cystic and bilateral with HIV.

Why is "Sjogren syndrome" not the answer?

Sjogren syndrome features dry eyes and mouth with autoantibodies.

Why is "Parotid lymphoma" not the answer?

Lymphoma would show atypical cells and a solid mass.

What concept does this question test?

It tests Head and neck tumours: benign lymphoepithelial cysts in HIV in ENT. Antiretroviral therapy often shrinks them. Warthin tumour occurs in older smokers and is usually solitary.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 tumours: benign lymphoepithelial cysts in HIV?

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.