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General Surgery · Thyroid surgery: recurrent laryngeal nerve
Sample itemHoarseness after thyroidectomy most suggests injury to which nerve?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Recurrent laryngeal nerve
The recurrent laryngeal nerve supplies almost all intrinsic laryngeal muscles. Injury leads to vocal-cord paresis and hoarseness.
Option by option
A. Phrenic nerve
Phrenic injury affects diaphragm movement.
B. Recurrent laryngeal nerve (correct)
Correct. Vocal-cord motor loss follows recurrent laryngeal injury.
C. Hypoglossal nerve
Hypoglossal injury affects tongue movement.
D. Facial nerve
Facial injury affects facial expression.
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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