Larynx: spasmodic dysphonia: 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: spasmodic dysphonia

Sample item

A woman has a strained, strangled voice with breaks during speech, while whispering and laughing are normal. Which treatment is most effective?

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

The answer and the reasoning

D. Botulinum toxin injection into the thyroarytenoid muscles

Adductor spasmodic dysphonia is a focal laryngeal dystonia in which intermittent spasms of adductor muscles produce a strained voice. Botulinum toxin injections weaken the muscles and give relief lasting months.

Option by option

  • A. Total laryngectomy

    Laryngectomy is not indicated.

  • B. Radiotherapy

    Radiotherapy has no role.

  • C. Tracheostomy

    Tracheostomy is not needed.

  • D. Botulinum toxin injection into the thyroarytenoid muscles (correct)

    Correct. Botulinum toxin is the standard treatment.

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 D, Botulinum toxin injection into the thyroarytenoid muscles. Adductor spasmodic dysphonia is a focal laryngeal dystonia in which intermittent spasms of adductor muscles produce a strained voice.

Why is "Total laryngectomy" not the answer?

Laryngectomy is not indicated.

Why is "Radiotherapy" not the answer?

Radiotherapy has no role.

Why is "Tracheostomy" not the answer?

Tracheostomy is not needed.

What concept does this question test?

It tests Larynx: spasmodic dysphonia in ENT. Botulinum toxin injections weaken the muscles and give relief lasting months.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: spasmodic dysphonia?

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.