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: Surgery
Which of the following does not cause head and neck squamous cell carcinoma 
Select and explain. 
A. Alcohol, B. Betel nut, C. HPV, D. EBV
D: EBV
Answer: D: EBV 
Explanation: Answer- D .EBVThe most impoant risk factors for developing HNSCC are tobacco smoking and alcohol consumption.Consumed in betel quids containing areca nut increases the risk of developing HNSCC.HNSCCs of the oral cavity and oropharynx, are becoming more prevalent, which may be related to an increase in oral and oropharyngeal HPV infection.