Head and neck tumours: risk in leukoplakia types: 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: risk in leukoplakia types

Sample item

Which clinical type of oral leukoplakia carries the greatest risk of malignant transformation?

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

The answer and the reasoning

A. Speckled (erythroleukoplakia) type

Non-homogeneous leukoplakias, especially the speckled type with mixed red and white areas, have a much higher malignant potential than homogeneous types. Such lesions need biopsy of the red area and close follow-up or excision. Risk is also higher on the floor of the mouth and lateral tongue.

Option by option

  • A. Speckled (erythroleukoplakia) type (correct)

    Correct. Speckled lesions combine red and white areas and have the highest transformation risk.

  • B. Flat homogeneous type

    Flat homogeneous plaques carry the lowest risk.

  • C. Wrinkled homogeneous type

    Wrinkled homogeneous plaques are low risk.

  • D. Corrugated homogeneous type

    Corrugated homogeneous plaques remain in the lower-risk homogeneous group.

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, Speckled (erythroleukoplakia) type. Non-homogeneous leukoplakias, especially the speckled type with mixed red and white areas, have a much higher malignant potential than homogeneous types.

Why is "Flat homogeneous type" not the answer?

Flat homogeneous plaques carry the lowest risk.

Why is "Wrinkled homogeneous type" not the answer?

Wrinkled homogeneous plaques are low risk.

Why is "Corrugated homogeneous type" not the answer?

Corrugated homogeneous plaques remain in the lower-risk homogeneous group.

What concept does this question test?

It tests Head and neck tumours: risk in leukoplakia types in ENT. Such lesions need biopsy of the red area and close follow-up or excision. Risk is also higher on the floor of the mouth and lateral tongue.

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 tumours: risk in leukoplakia types?

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.