Head and neck tumours: Mendelsohn manoeuvre: 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 · Head and neck tumours: Mendelsohn manoeuvre

Sample item

A speech therapist teaches a post-stroke patient to hold the larynx elevated for a few seconds at the middle of a swallow, to prolong cricopharyngeal opening. What is this technique?

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

The answer and the reasoning

C. Mendelsohn manoeuvre

The Mendelsohn manoeuvre consciously prolongs laryngeal elevation during swallowing, which widens and lengthens opening of the upper oesophageal sphincter and improves bolus clearance. It is used in patients with reduced laryngeal elevation. The supraglottic swallow is another airway protective technique.

Option by option

  • A. Valsalva manoeuvre

    The Valsalva manoeuvre raises intrathoracic pressure.

  • B. Heimlich manoeuvre

    The Heimlich manoeuvre treats choking.

  • C. Mendelsohn manoeuvre (correct)

    Correct. It prolongs upper oesophageal sphincter opening.

  • D. Epley manoeuvre

    The Epley manoeuvre treats posterior canal BPPV.

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 C, Mendelsohn manoeuvre. The Mendelsohn manoeuvre consciously prolongs laryngeal elevation during swallowing, which widens and lengthens opening of the upper oesophageal sphincter and improves bolus clearance.

Why is "Valsalva manoeuvre" not the answer?

The Valsalva manoeuvre raises intrathoracic pressure.

Why is "Heimlich manoeuvre" not the answer?

The Heimlich manoeuvre treats choking.

Why is "Epley manoeuvre" not the answer?

The Epley manoeuvre treats posterior canal BPPV.

What concept does this question test?

It tests Head and neck tumours: Mendelsohn manoeuvre in ENT. It is used in patients with reduced laryngeal elevation. The supraglottic swallow is another airway protective technique.

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 Head and neck tumours: Mendelsohn manoeuvre?

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.