A person with neck node and B type tympanogram -: (A) Acoustic neuroma, (B) Nasopharyngeal CA, (C) Angiofibroma, (D) None
Answer is B. Information in this question :

Cervical adenopathy (Neck node) :- Most common presentation of nasopharyngeal carcinoma.
Type B tympanogram :- Indicates serous otitis media, which may be a complication of nasopharyngeal carcinoma due to eustachian tube blockade.

Thus, among the given options, nasopharyngeal carcinoma is the answer of choice.