Larynx: contact granuloma: 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: contact granuloma

Sample item

A man with chronic reflux and throat clearing has a granulomatous mass at the vocal process of the arytenoid. What is the most appropriate first treatment?

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

The answer and the reasoning

A. Proton pump inhibitor with voice therapy

Contact granuloma arises at the vocal process from trauma, reflux and voice abuse. Medical management with acid suppression and voice therapy is first-line, as excision often recurs.

Option by option

  • A. Proton pump inhibitor with voice therapy (correct)

    Correct. Treating reflux and voice misuse is first-line.

  • B. Immediate laser excision

    Excision alone often recurs.

  • C. Tracheostomy

    Tracheostomy is not needed.

  • D. Radiotherapy

    Radiotherapy is not used.

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 A, Proton pump inhibitor with voice therapy. Contact granuloma arises at the vocal process from trauma, reflux and voice abuse.

Why is "Immediate laser excision" not the answer?

Excision alone often recurs.

Why is "Tracheostomy" not the answer?

Tracheostomy is not needed.

Why is "Radiotherapy" not the answer?

Radiotherapy is not used.

What concept does this question test?

It tests Larynx: contact granuloma in ENT. Medical management with acid suppression and voice therapy is first-line, as excision often recurs.

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: contact granuloma?

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.