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ENT · Larynx and airway: laryngeal electromyography
Sample itemA patient has a vocal fold paralysis for 2 months. Which test predicts recovery by showing polyphasic reinnervation potentials versus fibrillation potentials?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Laryngeal electromyography
Laryngeal EMG assesses motor unit potentials in the thyroarytenoid and cricothyroid. Fibrillation potentials without motor units suggest denervation with poor recovery, whereas polyphasic units suggest reinnervation. It guides timing of permanent medialisation.
Option by option
A. CT neck
CT shows structural lesions.
B. Videostroboscopy
Stroboscopy shows vibration, not nerve function.
C. Laryngeal electromyography (correct)
Correct. EMG gives prognosis in paralysis.
D. Acoustic analysis
Acoustic analysis quantifies voice quality.
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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