Larynx and airway: vocal fold cyst: 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: vocal fold cyst

Sample item

A teacher has chronic hoarseness. Stroboscopy shows a smooth submucosal swelling of one vocal fold with a reduced mucosal wave that has not improved with voice therapy. What is the treatment?

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

The answer and the reasoning

B. Microlaryngoscopic excision with a microflap technique

Vocal fold cysts are retention or epidermoid cysts in the lamina propria, which cause stiffness and hoarseness, and rarely respond to therapy alone. Surgical excision by microflap preserves the overlying mucosa and gives the best vocal outcome. Cordectomy is excessive.

Option by option

  • A. Radiotherapy

    Radiotherapy is for malignancy.

  • B. Microlaryngoscopic excision with a microflap technique (correct)

    Correct. Microflap excision preserves function.

  • C. Cordectomy

    Cordectomy would remove the cord.

  • D. Oral antibiotics

    Antibiotics do not treat cysts.

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, Microlaryngoscopic excision with a microflap technique. Vocal fold cysts are retention or epidermoid cysts in the lamina propria, which cause stiffness and hoarseness, and rarely respond to therapy alone.

Why is "Radiotherapy" not the answer?

Radiotherapy is for malignancy.

Why is "Cordectomy" not the answer?

Cordectomy would remove the cord.

Why is "Oral antibiotics" not the answer?

Antibiotics do not treat cysts.

What concept does this question test?

It tests Larynx and airway: vocal fold cyst in ENT. Surgical excision by microflap preserves the overlying mucosa and gives the best vocal outcome. Cordectomy is excessive.

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: vocal fold cyst?

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.