Cervical Lymphadenitis & Metastatic Neck Nodes MCQ Quiz | Neck & Salivary

1. What is the most common cause of acute bacterial cervical lymphadenitis in children?

2. A “cold abscess” with matted lymph nodes in the posterior triangle is characteristic of:

3. The left supraclavicular lymph node (Virchow’s node) enlargement is most classically associated with metastasis from which primary site?

4. Which level of neck nodes includes the upper deep jugular group and is a common site for metastasis from the oral cavity and oropharynx?

5. Fine Needle Aspiration Cytology (FNAC) is performed on a neck node. The report shows granulomas with caseous necrosis. What is the most likely diagnosis?

6. A patient presents with bilateral, tender, posterior cervical lymphadenopathy, fever, and pharyngitis. A positive heterophile antibody test (Monospot test) would suggest:

7. Metastasis to the submental and submandibular nodes (Level I) most commonly originates from cancers of the:

8. Kikuchi-Fujimoto disease (histiocytic necrotizing lymphadenitis) is a benign, self-limiting cause of lymphadenopathy that predominantly affects:

9. In the workup of a metastatic neck node from an unknown primary, which investigation is crucial for identifying occult primary tumors, especially in the oropharynx?

10. The posterior triangle nodes (Level V) receive lymphatic drainage primarily from the:

11. What is the most common histological type of metastatic cancer found in cervical lymph nodes?

12. A patient with a history of cat ownership presents with tender axillary and cervical lymphadenopathy. The most likely causative agent is:

13. The Delphian node is located in which neck level and is significant for pathology of the larynx and thyroid?

14. A cystic neck mass in an adult located in Level II or III should raise suspicion for metastasis from which primary site?

15. The presence of extranodal extension (ENE) in a metastatic lymph node is a significant poor prognostic factor because it increases the risk of:

16. The jugulodigastric node is part of which nodal level?

17. Which of the following neck dissection types involves removal of lymph nodes from levels I-V, along with the sternocleidomastoid muscle, internal jugular vein, and accessory nerve?

18. The sentinel lymph node biopsy (SLNB) technique is most established and commonly used for which type of head and neck cancer?

19. Castleman disease is a rare lymphoproliferative disorder. The unicentric form is often cured by:

20. What is the “node of Rouviere”?

21. In a patient with suspected infectious lymphadenitis that fails to respond to a 2-week course of antibiotics, what is the most appropriate next step?

22. Cancers of the glottic larynx (true vocal cords) have a low incidence of cervical metastasis primarily because:

23. On ultrasound, which feature is most suggestive of a malignant lymph node?

24. What is the primary treatment for tuberculous lymphadenitis (scrofula)?

25. A hard, fixed, non-tender lymph node in an elderly smoker is highly suspicious for: