This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Nose and paranasal sinuses, Subject name: ENT
[{'content': 'Which of the following is not seen in Nasopharyngeal Carcinoma? \nSelect and explain. \nA. Headache, B. Diplopia, C. Lymph Node involvement, D. Sneezing episodes', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Commonest presentation of Nasopharyngeal carcinoma(NPC) is Neck nodes involvement (>50% cases)Other symptoms:Nasal - Nasal obstruction, EpistaxisEar- Unilateral deafness, Tinnitus, Aural fullnessNeurological- Headache, Cranial nerve palsy (Commonest - 5th and 6th nerve)Ophthalmic- Diplopia (6th CN involvement), EpiphoraTrotter`s triad- Triad of Trigeminal neuralgia, Ipsilateral palatal immobility (9th nerve) and ipsilateral Conductive hearing loss (Serous otitis media) seen in NPC.Ref: Hazarika; 3rd ed; Pg: 525', 'role': 'assistant'}]