Larynx: leukoplakia: 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: leukoplakia

Sample item

A smoker has persistent hoarseness and a white plaque on the vocal cord seen on laryngoscopy. What is the next step?

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

The answer and the reasoning

A. Microlaryngoscopy with biopsy

Persistent leukoplakia of the larynx is premalignant and may harbour carcinoma, so excision biopsy under microlaryngoscopy is required. Smoking cessation is essential.

Option by option

  • A. Microlaryngoscopy with biopsy (correct)

    Correct. Biopsy establishes the grade of dysplasia or carcinoma.

  • B. Antibiotics for two weeks

    Antibiotics do not treat leukoplakia.

  • C. Reassurance

    Reassurance risks missing malignancy.

  • D. Voice rest only

    Voice rest alone does not give a diagnosis.

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

Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Microlaryngoscopy with biopsy. Persistent leukoplakia of the larynx is premalignant and may harbour carcinoma, so excision biopsy under microlaryngoscopy is required.

Why is "Antibiotics for two weeks" not the answer?

Antibiotics do not treat leukoplakia.

Why is "Reassurance" not the answer?

Reassurance risks missing malignancy.

Why is "Voice rest only" not the answer?

Voice rest alone does not give a diagnosis.

What concept does this question test?

It tests Larynx: leukoplakia in ENT. Smoking cessation is essential.

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: leukoplakia?

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.