Larynx and airway: muscle tension 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 and airway: muscle tension dysphonia

Sample item

A teacher has a strained voice for six months. Laryngoscopy shows a normal mucosa, no lesion, and tight supraglottic squeezing on phonation. What is the first-line treatment?

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

The answer and the reasoning

D. Voice therapy

Muscle tension dysphonia has no structural lesion and is a functional disorder of excessive laryngeal tension. Voice therapy with relaxation and technique retraining is first-line.

Option by option

  • A. Long-term steroids

    Steroids do not treat tension and carry side effects.

  • B. Microlaryngeal surgery

    Surgery has no target when no lesion is present.

  • C. Radiotherapy

    Radiotherapy is for malignancy and not for this condition.

  • D. Voice therapy (correct)

    Correct. Functional dysphonia without a lesion is treated with voice therapy.

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, Voice therapy. Muscle tension dysphonia has no structural lesion and is a functional disorder of excessive laryngeal tension.

Why is "Long-term steroids" not the answer?

Steroids do not treat tension and carry side effects.

Why is "Microlaryngeal surgery" not the answer?

Surgery has no target when no lesion is present.

Why is "Radiotherapy" not the answer?

Radiotherapy is for malignancy and not for this condition.

What concept does this question test?

It tests Larynx and airway: muscle tension dysphonia in ENT. Voice therapy with relaxation and technique retraining is first-line.

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 and airway: muscle tension 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.