Larynx and airway: posterior glottic stenosis: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Larynx and airway: posterior glottic stenosis

Sample item

After 3 weeks of mechanical ventilation, a patient has stridor on exertion and limited cord abduction with a fibrous band between the arytenoids. What is the diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Posterior glottic stenosis from prolonged intubation

Prolonged intubation causes pressure ulceration in the posterior glottis, with interarytenoid scarring and fixation of the arytenoids. Distinguishing it from bilateral cord paralysis needs palpation of the arytenoids at microlaryngoscopy. Treatment is scar division, laser or posterior cordotomy.

Option by option

  • A. Laryngeal web from birth

    A congenital web is anterior.

  • B. Posterior glottic stenosis from prolonged intubation (correct)

    Correct. Posterior scarring follows prolonged intubation.

  • C. Bilateral recurrent laryngeal palsy

    Palsy shows mobile arytenoids on palpation.

  • D. Laryngeal carcinoma

    Cancer shows a mass lesion.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Posterior glottic stenosis from prolonged intubation. Prolonged intubation causes pressure ulceration in the posterior glottis, with interarytenoid scarring and fixation of the arytenoids.

Why is "Laryngeal web from birth" not the answer?

A congenital web is anterior.

Why is "Bilateral recurrent laryngeal palsy" not the answer?

Palsy shows mobile arytenoids on palpation.

Why is "Laryngeal carcinoma" not the answer?

Cancer shows a mass lesion.

What concept does this question test?

It tests Larynx and airway: posterior glottic stenosis in ENT. Distinguishing it from bilateral cord paralysis needs palpation of the arytenoids at microlaryngoscopy. Treatment is scar division, laser or posterior cordotomy.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Larynx and airway: posterior glottic stenosis?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.