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Dentistry · Oral medicine and oral cancer: lip cancer
Sample itemA 62-year-old farmer has a non-healing crusted ulcer on the vermilion of the centre of the lower lip. Which nodal group is the first echelon of lymphatic drainage from this site?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Submental nodes
The central lower lip drains to the submental nodes, whereas the lateral lip drains to the submandibular nodes. Lip carcinoma is linked to sun exposure and tobacco.
Option by option
A. Occipital nodes
Occipital nodes drain the posterior scalp.
B. Preauricular nodes
Preauricular nodes drain the temple and lateral eyelids.
C. Retropharyngeal nodes
Retropharyngeal nodes drain the nasopharynx.
D. Submental nodes (correct)
Correct. The central lower lip drains to the submental nodes.
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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