Larynx: laryngopharyngeal reflux: 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: laryngopharyngeal reflux

Sample item

A patient has chronic throat clearing, globus and hoarseness without heartburn. Laryngoscopy shows posterior laryngeal erythema and interarytenoid pachydermia. What is the initial management?

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

The answer and the reasoning

D. Lifestyle changes and a trial of proton pump inhibitor

Laryngopharyngeal reflux often occurs without classic heartburn. Diet and lifestyle changes with a proton pump inhibitor trial (often 2 to 3 months) are the initial treatment.

Option by option

  • A. Tracheostomy

    Tracheostomy is not indicated.

  • B. Total laryngectomy

    Laryngectomy is not indicated.

  • C. Radiotherapy

    Radiotherapy is not indicated.

  • D. Lifestyle changes and a trial of proton pump inhibitor (correct)

    Correct. Acid suppression and lifestyle changes are first-line.

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, Lifestyle changes and a trial of proton pump inhibitor. Laryngopharyngeal reflux often occurs without classic heartburn.

Why is "Tracheostomy" not the answer?

Tracheostomy is not indicated.

Why is "Total laryngectomy" not the answer?

Laryngectomy is not indicated.

Why is "Radiotherapy" not the answer?

Radiotherapy is not indicated.

What concept does this question test?

It tests Larynx: laryngopharyngeal reflux in ENT. Diet and lifestyle changes with a proton pump inhibitor trial (often 2 to 3 months) are the initial treatment.

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: laryngopharyngeal reflux?

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.