Larynx: voice after laryngectomy: 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: voice after laryngectomy

Sample item

A patient after total laryngectomy wants to speak. Which method gives the best quality voice through a surgically created tracheo-oesophageal fistula?

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

The answer and the reasoning

A. Tracheo-oesophageal puncture with a voice prosthesis

A one-way valve prosthesis in the tracheo-oesophageal puncture diverts pulmonary air into the pharynx to vibrate the pharyngo-oesophageal segment, giving a fluent voice. Oesophageal speech and electrolarynx are alternatives.

Option by option

  • A. Tracheo-oesophageal puncture with a voice prosthesis (correct)

    Correct. The Blom-Singer-type prosthesis gives the best voice.

  • B. Whispering

    Whispering is not a speech rehabilitation method.

  • C. Oesophageal speech only

    Oesophageal speech is harder to learn.

  • D. Electrolarynx only

    The electrolarynx gives a mechanical voice and is an alternative.

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, Tracheo-oesophageal puncture with a voice prosthesis. A one-way valve prosthesis in the tracheo-oesophageal puncture diverts pulmonary air into the pharynx to vibrate the pharyngo-oesophageal segment, giving a fluent voice.

Why is "Whispering" not the answer?

Whispering is not a speech rehabilitation method.

Why is "Oesophageal speech only" not the answer?

Oesophageal speech is harder to learn.

Why is "Electrolarynx only" not the answer?

The electrolarynx gives a mechanical voice and is an alternative.

What concept does this question test?

It tests Larynx: voice after laryngectomy in ENT. Oesophageal speech and electrolarynx are alternatives.

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: voice after laryngectomy?

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.