Neck: cystic hygroma: 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 · Neck: cystic hygroma

Sample item

A newborn has a soft, brilliantly transilluminant, multilocular swelling in the posterior triangle of the neck. What is the treatment?

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

The answer and the reasoning

D. Sclerotherapy or surgical excision

Cystic hygroma (lymphatic malformation) arises from failure of lymphatic drainage to join the venous system. It may be associated with Turner syndrome and trisomies. Treatment is sclerotherapy (for example OK-432) or excision.

Option by option

  • A. Needle aspiration only repeated weekly

    Aspiration alone usually recurs.

  • B. Chemotherapy

    Chemotherapy has no role.

  • C. Radiotherapy

    Radiotherapy is not used for a benign malformation.

  • D. Sclerotherapy or surgical excision (correct)

    Correct. Sclerotherapy or excision is standard.

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 D, Sclerotherapy or surgical excision. Cystic hygroma (lymphatic malformation) arises from failure of lymphatic drainage to join the venous system.

Why is "Needle aspiration only repeated weekly" not the answer?

Aspiration alone usually recurs.

Why is "Chemotherapy" not the answer?

Chemotherapy has no role.

Why is "Radiotherapy" not the answer?

Radiotherapy is not used for a benign malformation.

What concept does this question test?

It tests Neck: cystic hygroma in ENT. It may be associated with Turner syndrome and trisomies. Treatment is sclerotherapy (for example OK-432) or excision.

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 Neck: cystic hygroma?

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.