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ENT · Larynx
Sample itemIn singers, vocal nodules typically occur at:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. The junction of the anterior one-third and posterior two-thirds of the vocal cord
That junction is the point of maximal vibration and so maximal mechanical stress. Nodules are bilateral and symmetrical, and respond to voice rest and speech therapy.
Option by option
A. The posterior commissure
The posterior commissure is typical for contact ulcers and granulomas.
B. The junction of the anterior one-third and posterior two-thirds of the vocal cord (correct)
Correct.
C. The anterior commissure
Tumours such as papillomas are more often seen at the anterior commissure.
D. The vocal process of the arytenoid
The vocal process is the site of contact ulcers.
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.