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ENT · Head and neck tumours: narrow band imaging
Sample itemDuring endoscopy, a surgeon uses filtered blue and green light to highlight abnormal capillary patterns in mucosal lesions. What is this technique?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Narrow band imaging
Narrow band imaging uses light at 415 and 540 nm that is absorbed by haemoglobin, showing neovascularity and intraepithelial papillary capillary loops that suggest dysplasia or early cancer. It improves detection of superficial mucosal tumours. It supplements but does not replace biopsy.
Option by option
A. Narrow band imaging (correct)
Correct. It enhances mucosal vascular patterns.
B. Toluidine blue test
Toluidine blue is a vital stain applied to the mucosa.
C. Computed tomography
CT uses X-rays.
D. Videostroboscopy
Videostroboscopy examines vocal fold vibration.
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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