Larynx and airway: laryngeal sarcoidosis: 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: laryngeal sarcoidosis

Sample item

A 40-year-old woman with bilateral hilar lymphadenopathy has hoarseness. Laryngoscopy shows a pale, oedematous, thickened epiglottis with a turban-like appearance. What is the likely cause?

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

The answer and the reasoning

C. Laryngeal sarcoidosis

Supraglottic sarcoidosis causes diffuse pale oedema of the epiglottis, giving a turban-like thickening, along with the arytenoids. Biopsy shows non-caseating granulomas. Treatment is with steroids, and tracheostomy may be required for airway compromise.

Option by option

  • A. Laryngeal papillomatosis

    Papillomatosis shows exophytic warty growths.

  • B. Reflux laryngitis

    Reflux laryngitis causes posterior erythema.

  • C. Laryngeal sarcoidosis (correct)

    Correct. Turban epiglottis with hilar nodes suggests sarcoidosis.

  • D. Acute epiglottitis

    Acute epiglottitis is a red, febrile emergency.

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 C, Laryngeal sarcoidosis. Supraglottic sarcoidosis causes diffuse pale oedema of the epiglottis, giving a turban-like thickening, along with the arytenoids.

Why is "Laryngeal papillomatosis" not the answer?

Papillomatosis shows exophytic warty growths.

Why is "Reflux laryngitis" not the answer?

Reflux laryngitis causes posterior erythema.

Why is "Acute epiglottitis" not the answer?

Acute epiglottitis is a red, febrile emergency.

What concept does this question test?

It tests Larynx and airway: laryngeal sarcoidosis in ENT. Biopsy shows non-caseating granulomas. Treatment is with steroids, and tracheostomy may be required for airway compromise.

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 and airway: laryngeal sarcoidosis?

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.