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ENT · Larynx
Sample itemWhich symptom suggests recurrent laryngeal nerve palsy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Breathy voice with weak cough
Recurrent laryngeal nerve palsy impairs vocal-fold movement and glottic closure, causing breathy dysphonia, weak cough, and aspiration risk.
Option by option
A. Painful jaw clicking
Jaw clicking concerns temporomandibular joint.
B. Breathy voice with weak cough (correct)
Correct: glottic incompetence causes breathiness.
C. Nasal blockage after pollen
Pollen blockage is allergic rhinitis.
D. Itchy external ear
Ear itch does not indicate vocal-fold paralysis.
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.