Larynx: rheumatoid involvement: 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: rheumatoid involvement

Sample item

A patient with long-standing rheumatoid arthritis has hoarseness, a sensation of fullness in the throat and reduced vocal cord mobility with normal nerve function. What is the likely cause?

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

The answer and the reasoning

A. Cricoarytenoid joint arthritis

Rheumatoid arthritis can inflame the cricoarytenoid joints, causing fixation and sometimes stridor. Nodules may also form in the vocal cords. Intubation can be difficult in these patients.

Option by option

  • A. Cricoarytenoid joint arthritis (correct)

    Correct. Cricoarytenoid arthritis fixes the cords.

  • B. Laryngomalacia

    Laryngomalacia is a congenital infantile problem.

  • C. Vocal cord carcinoma

    Carcinoma would show a mass.

  • D. Recurrent laryngeal nerve palsy

    Nerve palsy is excluded by normal nerve function.

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, Cricoarytenoid joint arthritis. Rheumatoid arthritis can inflame the cricoarytenoid joints, causing fixation and sometimes stridor.

Why is "Laryngomalacia" not the answer?

Laryngomalacia is a congenital infantile problem.

Why is "Vocal cord carcinoma" not the answer?

Carcinoma would show a mass.

Why is "Recurrent laryngeal nerve palsy" not the answer?

Nerve palsy is excluded by normal nerve function.

What concept does this question test?

It tests Larynx: rheumatoid involvement in ENT. Nodules may also form in the vocal cords. Intubation can be difficult in these patients.

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: rheumatoid involvement?

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.