Try it
ENT · Laryngology
Sample itemWhich patient with hoarseness needs urgent laryngeal evaluation for possible malignancy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A smoker with hoarseness persisting several weeks
Persistent hoarseness, especially in a smoker or with dysphagia, neck mass, hemoptysis, or weight loss, requires laryngeal assessment because early laryngeal malignancy may present with voice change alone.
Option by option
A. A patient with isolated seasonal sneezing
Seasonal sneezing is more consistent with allergy.
B. A smoker with hoarseness persisting several weeks (correct)
Correct: persistent hoarseness in a smoker is a cancer red flag.
C. A child with a short-lived viral sore throat
Short viral symptoms usually settle and do not carry the same warning pattern.
D. A singer hoarse for one morning after a concert
Brief voice fatigue after overuse is commonly benign but needs review if persistent.
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
- LaryngologyA 55-year-old man who has smoked for decades has a low-pitched hoarse voice. Laryngoscop…
- LaryngologyA woman has stridor after total thyroidectomy. Laryngoscopy shows both vocal cords fixed…
- LaryngologyWhich nerve supplies most intrinsic muscles of the larynx?
- LaryngologyWhat symptom is most typical of laryngitis?