Benign Vocal Cord Lesions

2.

A 45 y/o pt presents to your office with a 30pk/yr Hx of smoking, complaining of raspy voice. On endoscopic exam you see this presentation: What is the next step in management?

Surgical excision
Laryngectomy
Speech pathology
Smoking cessation

Correct Answer

A. Smoking cessation

Explanation

The next step in management for a patient with a 30 pack-year history of smoking and a complaint of a raspy voice would be smoking cessation. Smoking is a known cause of voice changes and can lead to various vocal cord pathologies. By quitting smoking, the patient can reduce further damage to their vocal cords and improve their voice quality. Surgical excision or laryngectomy would not be appropriate in this case as the primary concern is addressing the underlying cause of the raspy voice. Speech pathology may be considered as part of the management plan to help improve vocal cord function, but smoking cessation would be the initial step.

Rate this question:

3.

A 25 y/o male teacher presents with complaints of hoarseness. The endoscopic exam is shown below: What is the next step in management?

Speech Threapy
Steroids
Biopsy
Surgery

Correct Answer

A. Speech Threapy

Explanation

The next step in management for a 25-year-old male teacher presenting with hoarseness would be speech therapy. Hoarseness is often caused by vocal cord dysfunction, which can be improved with speech therapy techniques such as vocal exercises and proper vocal hygiene. Steroids may be considered if there is suspicion of vocal cord inflammation or edema, but they are not the first-line treatment. Biopsy and surgery would be indicated if there is suspicion of a structural abnormality or malignancy, but these interventions are not necessary based on the information provided.

Rate this question:

4.

A 23 y/o pt presents with hoarseness after cheering his favorite team to victory last week. The endoscope eval is shown below: What is the next step in management?

Observe (voice rest)
Steroids
Biopsy
Surgery

Correct Answer

A. Observe (voice rest)

Explanation

Based on the given information, the patient is a 23-year-old who developed hoarseness after cheering. This suggests that the hoarseness is likely due to vocal strain or vocal cord edema rather than a more serious underlying condition. Therefore, the next step in management would be to observe the patient and advise voice rest. This allows the vocal cords to rest and heal naturally without the need for more invasive interventions such as steroids, biopsy, or surgery.

Rate this question:

5.

A 65y/o female with hoarseness presents to your office. Endoscopic exam is below: What in her history might help lead you to diagnosis?

Smoking
Previous VC surgery
Rheumatologic disease Hx
Trumpet player

Correct Answer

A. Previous VC surgery

Explanation

A history of previous vocal cord (VC) surgery can help lead to a diagnosis in a 65-year-old female with hoarseness. Hoarseness can be a common symptom after VC surgery, as it can cause scarring or damage to the vocal cords. Therefore, knowing about the patient's previous VC surgery can provide important information in determining the cause of her hoarseness.

Rate this question:

6.

40 y/o male presents to your office with voice changes. He smokes and drinks 4 cups of coffee a day. Endoscopic exam shown below: What is the next step in management?

Observe(Voice rest)
Protonix
Biopsy
Surgery

Correct Answer

A. Protonix

Explanation

Given the information provided, the 40-year-old male presenting with voice changes, smoking, and drinking 4 cups of coffee a day, the next step in management would be to prescribe Protonix. Protonix is a medication used to reduce stomach acid production and can help alleviate symptoms of acid reflux, which may be causing the voice changes. This step would be appropriate before considering more invasive options such as biopsy or surgery.

Rate this question:

7.

A 23 y/o pt presents with hoarseness after cheering his favorite team to victory last week. The endoscope eval is shown below: What is the next step in management?

Observe(voice rest)
Steroids
Biopsy
Surgery

Correct Answer

A. Surgery

Explanation

The endoscope evaluation shows an abnormality that is likely causing the hoarseness in the patient. Surgery would be the next step in management to address and correct the underlying issue causing the hoarseness. Observing or voice rest may not be sufficient if there is a structural problem that needs to be addressed. Steroids may be considered if there is inflammation present, but in this case, surgery would be the most appropriate option.

Rate this question:

8.

55 y/o female presents with a complaint of hoarseness since recently being admitted to the hospital for respiratory problems. Endoscopic exam is shown below: What is the next step in management?

Observe(Voice rest)
Steroids
Biopsy
Surgery

Correct Answer

A. Observe(Voice rest)

Explanation

Based on the given information, the next step in management for a 55-year-old female with hoarseness is to observe and recommend voice rest. Since the patient recently had respiratory problems and was admitted to the hospital, it is possible that the hoarseness is due to vocal cord strain or irritation from intubation or other respiratory interventions. In such cases, allowing the vocal cords to rest and recover can often resolve the hoarseness. Therefore, observation and voice rest would be the appropriate initial management approach.

Rate this question:

Benign Vocal Cord Lesions

Reinke’s edema usually will change voice pitch in which direction?

Quiz Preview

A 45 y/o pt presents to your office with a 30pk/yr Hx of smoking, complaining of raspy voice. On endoscopic exam you see this presentation: What is the next step in management?

A 25 y/o male teacher presents with complaints of hoarseness. The endoscopic exam is shown below: What is the next step in management?

A 23 y/o pt presents with hoarseness after cheering his favorite team to victory last week. The endoscope eval is shown below: What is the next step in management?

A 65y/o female with hoarseness presents to your office. Endoscopic exam is below: What in her history might help lead you to diagnosis?

40 y/o male presents to your office with voice changes. He smokes and drinks 4 cups of coffee a day. Endoscopic exam shown below: What is the next step in management?

A 23 y/o pt presents with hoarseness after cheering his favorite team to victory last week. The endoscope eval is shown below: What is the next step in management?

55 y/o female presents with a complaint of hoarseness since recently being admitted to the hospital for respiratory problems. Endoscopic exam is shown below: What is the next step in management?