Throat & Larynx MCQs

ENT · 6 free questions with answers & explanations.

1. A 25-year-old man presents with high-grade fever, severe sore throat, drooling of saliva, difficulty opening the mouth, and a bulge in the right peritonsillar region pushing the uvula to the left. He has been symptomatic for 4 days. What is the most appropriate immediate management?
2. A 42-year-old chronic smoker and alcoholic presents with progressive dysphagia to solids, a 3-week history of unilateral otalgia, and a 3 cm hard irregular mass at the base of tongue on examination. Biopsy confirms squamous cell carcinoma. The referred otalgia in this patient is most likely mediated through which nerve?
3. A 3-year-old child presents at 2 AM with a 6-hour history of sudden onset inspiratory stridor, barking cough, and hoarseness following a coryzal illness. He is afebrile, alert, and not drooling. On soft tissue lateral neck X-ray, the subglottic region shows a 'steeple sign'. What is the diagnosis?
4. A professional singer presents with painless progressive hoarseness. Laryngoscopy reveals bilateral symmetrical smooth, gelatinous swellings on the free edge of both vocal cords at the junction of the anterior one-third and posterior two-thirds. What is the most likely diagnosis?
5. A 60-year-old chronic smoker presents with hoarseness of 8 months duration. Laryngoscopy shows a growth limited to the right vocal cord with normal cord mobility. There is no palpable neck lymphadenopathy. CT staging confirms T1N0M0 glottic carcinoma. What is the most appropriate treatment?
6. A 5-year-old child is brought with recurrent episodes of mild upper airway obstruction and a change in voice. Laryngoscopy shows multiple small wart-like lesions on the true and false vocal cords and subglottis. Biopsy reveals squamous papillomas. Which HPV subtypes are most commonly implicated?