ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 16 / 20

Neck Lumps & Head-and-Neck Cancer

Evaluate persistent masses and mucosal warning signs through a coordinated diagnostic pathway.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. A persistent unexplained painless neck lump in an adult requires what? A. Reassurance because it is painlessB. Indefinite observation without a planC. Appropriate specialist assessmentD. Automatic diagnosis of a congenital cyst

Question 02. Which associated symptom can be a head-and-neck warning sign? A. One resolved sneezeB. Persistent unilateral referred ear pain with a normal earC. Stable childhood myopiaD. Brief foot itch

Question 03. Does absence of smoking history exclude head-and-neck cancer? A. YesB. NoC. Only in adults under 50D. Only if the lump is cystic

Question 04. What should repeated antibiotics without infection evidence be replaced by? A. A longer automatic course foreverB. No follow-upC. Treatment based on lump colour aloneD. Diagnostic reassessment and an appropriate referral plan

Question 05. Why avoid an unplanned open neck-node biopsy before specialist review? A. It always confirms benignityB. It replaces stagingC. It is the only safe first test in every caseD. It can complicate definitive management

Question 06. Does a cystic adult neck mass always represent a benign congenital cyst? A. NoB. Yes, by definitionC. Only if painlessD. Only if mobile

Question 07. What does histology primarily establish? A. The tissue diagnosisB. Only the patient’s fitnessC. The hearing thresholdD. The travel distance to hospital

Question 08. What does cancer staging assess? A. Only pain severityB. Only the colour of the lesionC. The number of clinic visitsD. Extent and spread of disease

Question 09. Why include swallowing and nutritional support in treatment planning? A. Nutrition never affects recoveryB. It replaces cancer therapyC. It is needed only if hearing is normalD. Treatment can affect eating and airway protection

Question 10. Persistent concerning symptoms after an inadequate sample require what? A. Reassessment and a plan to resolve the uncertaintyB. Permanent discharge as benignC. Reassurance based only on one reportD. Ignoring the original examination

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.