Larynx and airway: puberphonia: 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: puberphonia

Sample item

A 17-year-old boy has a high-pitched voice with a normal larynx on examination. Coughing produces a normal low-pitched sound. What is the best treatment?

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

The answer and the reasoning

B. Voice therapy

Puberphonia (mutational falsetto) is a functional disorder in which the voice fails to change after puberty. Voice therapy is highly effective, and the ability to produce a normal voice on coughing proves the larynx is healthy. Organic causes such as hypogonadism must be excluded.

Option by option

  • A. Laryngeal injection of Teflon

    Injection is for glottic insufficiency.

  • B. Voice therapy (correct)

    Correct. Voice therapy corrects the habit.

  • C. Thyroplasty type 3

    Thyroplasty is used to change pitch only in rare resistant cases.

  • D. Hormone therapy

    Hormones are indicated only in endocrine disease.

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 B, Voice therapy. Puberphonia (mutational falsetto) is a functional disorder in which the voice fails to change after puberty.

Why is "Laryngeal injection of Teflon" not the answer?

Injection is for glottic insufficiency.

Why is "Thyroplasty type 3" not the answer?

Thyroplasty is used to change pitch only in rare resistant cases.

Why is "Hormone therapy" not the answer?

Hormones are indicated only in endocrine disease.

What concept does this question test?

It tests Larynx and airway: puberphonia in ENT. Voice therapy is highly effective, and the ability to produce a normal voice on coughing proves the larynx is healthy. Organic causes such as hypogonadism must be excluded.

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: puberphonia?

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.