Head and neck: extranodal extension: 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: extranodal extension

Sample item

After surgery for oral cavity carcinoma, histology shows extranodal extension in the neck nodes and a close margin. What is the usual adjuvant treatment?

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

The answer and the reasoning

A. Postoperative concurrent chemoradiotherapy with cisplatin

Extranodal extension and positive margins are high-risk features, and adjuvant concurrent cisplatin-based chemoradiotherapy improves locoregional control and survival. Radioiodine is for differentiated thyroid cancer.

Option by option

  • A. Postoperative concurrent chemoradiotherapy with cisplatin (correct)

    Correct. Chemoradiotherapy is the standard for these features.

  • B. Radioiodine

    Radioiodine is not for squamous carcinoma.

  • C. Hormone therapy

    Hormone therapy is not used.

  • D. Observation

    Observation risks recurrence.

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, Postoperative concurrent chemoradiotherapy with cisplatin. Extranodal extension and positive margins are high-risk features, and adjuvant concurrent cisplatin-based chemoradiotherapy improves locoregional control and survival.

Why is "Radioiodine" not the answer?

Radioiodine is not for squamous carcinoma.

Why is "Hormone therapy" not the answer?

Hormone therapy is not used.

Why is "Observation" not the answer?

Observation risks recurrence.

What concept does this question test?

It tests Head and neck: extranodal extension in ENT. Radioiodine is for differentiated thyroid cancer.

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: extranodal extension?

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.