Larynx: cardiovocal syndrome: 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: cardiovocal syndrome

Sample item

A woman with severe mitral stenosis and left atrial enlargement develops hoarseness with left vocal cord paralysis. What is this called?

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

The answer and the reasoning

A. Ortner's syndrome

Ortner's (cardiovocal) syndrome is left recurrent laryngeal nerve palsy caused by compression by an enlarged left atrium or pulmonary artery against the aortic arch. Mediastinal lesions and aortic aneurysm are other causes of left cord palsy.

Option by option

  • A. Ortner's syndrome (correct)

    Correct. Cardiac enlargement causing left recurrent nerve palsy is Ortner's syndrome.

  • B. Gradenigo syndrome

    Gradenigo syndrome relates to petrositis.

  • C. Horner's syndrome

    Horner's syndrome results from sympathetic chain interruption.

  • D. Plummer-Vinson syndrome

    Plummer-Vinson is associated with iron deficiency and a web.

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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Questions about this ENT question

What is the answer to this ENT question?

The best answer is A, Ortner's syndrome. Ortner's (cardiovocal) syndrome is left recurrent laryngeal nerve palsy caused by compression by an enlarged left atrium or pulmonary artery against the aortic arch.

Why is "Gradenigo syndrome" not the answer?

Gradenigo syndrome relates to petrositis.

Why is "Horner's syndrome" not the answer?

Horner's syndrome results from sympathetic chain interruption.

Why is "Plummer-Vinson syndrome" not the answer?

Plummer-Vinson is associated with iron deficiency and a web.

What concept does this question test?

It tests Larynx: cardiovocal syndrome in ENT. Mediastinal lesions and aortic aneurysm are other causes of left cord palsy.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: cardiovocal syndrome?

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.