Larynx: early glottic cancer treatment: 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: early glottic cancer treatment

Sample item

A 58-year-old has a T1a glottic carcinoma confined to the mid-portion of one cord with normal mobility. Which treatment gives voice preservation with high cure rates?

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

The answer and the reasoning

B. Radiotherapy or transoral laser cordectomy

Early glottic carcinoma has cure rates around 90 percent with either radiotherapy or endoscopic laser surgery, both preserving voice. Total laryngectomy is reserved for advanced disease or salvage.

Option by option

  • A. Radical neck dissection

    Nodal disease is rare, so neck dissection is not needed.

  • B. Radiotherapy or transoral laser cordectomy (correct)

    Correct. Radiotherapy or laser surgery is appropriate.

  • C. Chemotherapy alone

    Chemotherapy alone is not curative.

  • D. Total laryngectomy

    Total laryngectomy is excessive.

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, Radiotherapy or transoral laser cordectomy. Early glottic carcinoma has cure rates around 90 percent with either radiotherapy or endoscopic laser surgery, both preserving voice.

Why is "Radical neck dissection" not the answer?

Nodal disease is rare, so neck dissection is not needed.

Why is "Chemotherapy alone" not the answer?

Chemotherapy alone is not curative.

Why is "Total laryngectomy" not the answer?

Total laryngectomy is excessive.

What concept does this question test?

It tests Larynx: early glottic cancer treatment in ENT. Total laryngectomy is reserved for advanced disease or salvage.

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: early glottic cancer treatment?

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.