Tongue: lymphatic drainage: practice question

A Anatomy 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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Anatomy · Tongue: lymphatic drainage

Sample item

A 55-year-old man has a squamous cell carcinoma at the tip of the tongue. Which lymph nodes drain it first?

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

The answer and the reasoning

D. Submental nodes of both sides

The tip of the tongue drains to the submental nodes, and may drain bilaterally. The lateral (marginal) part of the anterior two-thirds drains to the submandibular nodes, the central part drains to the deep cervical nodes, and the posterior third drains bilaterally to the upper deep cervical nodes. Knowing the pathways guides neck dissection.

Option by option

  • A. Preauricular nodes

    The preauricular nodes drain the temple, cheek and part of the eyelids.

  • B. Retropharyngeal nodes

    The retropharyngeal nodes drain the nasopharynx and posterior pharynx.

  • C. Occipital nodes

    The occipital nodes drain the posterior scalp.

  • D. Submental nodes of both sides (correct)

    Correct. The tip drains to the submental group, often on both sides.

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 Anatomy question

What is the answer to this Anatomy question?

The best answer is D, Submental nodes of both sides. The tip of the tongue drains to the submental nodes, and may drain bilaterally.

Why is "Preauricular nodes" not the answer?

The preauricular nodes drain the temple, cheek and part of the eyelids.

Why is "Retropharyngeal nodes" not the answer?

The retropharyngeal nodes drain the nasopharynx and posterior pharynx.

Why is "Occipital nodes" not the answer?

The occipital nodes drain the posterior scalp.

What concept does this question test?

It tests Tongue: lymphatic drainage in Anatomy. The lateral (marginal) part of the anterior two-thirds drains to the submandibular nodes, the central part drains to the deep cervical nodes, and the posterior third drains bilaterally to the upper deep cervical nodes. Knowing the pathways guides neck dissection.

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 Tongue: lymphatic drainage?

Learn every nerve by its route, its muscles and what a lesion looks like at the bedside. That one habit answers a large share of questions. Then use the flashcards and the other Anatomy 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.