This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
[{'content': 'Most common presentation in nasopharyngeal carcinoma is with: \nSelect and explain. \nA. Epistaxis, B. Hoarseness of voice, C. Nasal stuffiness, D. Cervical lymphadenopathy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The most common complain at presentation is the presence of an upper neck swelling. Unilateral neck swelling is much more common although bilateral metastasis also occur.', 'role': 'assistant'}]