Larynx and airway: vocal fold haemorrhage: 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: vocal fold haemorrhage

Sample item

A singer develops sudden hoarseness after a forceful high note, with a red, haemorrhagic swelling of one vocal fold. What is the first-line management?

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

The answer and the reasoning

B. Complete voice rest for several days to weeks

Submucosal vocal fold haemorrhage is caused by rupture of a vessel in the superficial lamina propria from vocal trauma. Voice rest allows resorption of the haematoma. Surgery is reserved for persisting haematoma or a residual varix or polyp.

Option by option

  • A. Immediate microlaryngeal surgery

    Early surgery is not needed in most cases.

  • B. Complete voice rest for several days to weeks (correct)

    Correct. Rest allows the blood to resolve.

  • C. Radiotherapy

    Radiotherapy has no role.

  • D. Antibiotics

    There is no infection.

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.

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Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Complete voice rest for several days to weeks. Submucosal vocal fold haemorrhage is caused by rupture of a vessel in the superficial lamina propria from vocal trauma.

Why is "Immediate microlaryngeal surgery" not the answer?

Early surgery is not needed in most cases.

Why is "Radiotherapy" not the answer?

Radiotherapy has no role.

Why is "Antibiotics" not the answer?

There is no infection.

What concept does this question test?

It tests Larynx and airway: vocal fold haemorrhage in ENT. Voice rest allows resorption of the haematoma. Surgery is reserved for persisting haematoma or a residual varix or polyp.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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: vocal fold haemorrhage?

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.