ENT

20 learning units • 100 chapter sections • 200 explained questions. Assess ear, nose and throat symptoms, recognise urgent complications and plan safe treatment, referral and rehabilitation.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 14 / 20

Dysphonia & Laryngeal Disease

Assess persistent voice change and identify structural or neurological causes.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Which associated symptom makes hoarseness particularly urgent? A. Stable mild nasal itchB. StridorC. A healed skin scarD. Longstanding corrected myopia

Question 02. What should persistent unexplained dysphonia prompt? A. Laryngeal assessmentB. Indefinite antibiotics without examinationC. Automatic reassuranceD. Only a hearing test

Question 03. Does a normal oral examination exclude laryngeal cancer? A. Yes, alwaysB. NoC. Only in nonsmokersD. Only if swallowing is normal

Question 04. Which history is relevant to possible vocal fold dysfunction? A. Spectacle frame changeB. Recent neck or chest surgeryC. Remote ankle sprain aloneD. Seasonal foot rash

Question 05. What is a role of voice therapy? A. Treat selected functional or benign voice disordersB. Replace assessment of every persistent lesionC. Cure all malignanciesD. Treat every airway obstruction

Question 06. Should every hoarse voice be assumed to be reflux? A. Yes, regardless of red flagsB. NoC. Only if it lasts monthsD. Only if the patient smokes

Question 07. Which voice-use advice is reasonable during uncomplicated laryngitis? A. Continuous forceful whisperingB. Shouting to strengthen the foldsC. Ignoring symptoms indefinitelyD. Hydration and avoiding excessive strain

Question 08. Bilateral vocal fold impairment may threaten what? A. Only external ear skinB. The airwayC. Only the nasal septumD. Only dental enamel

Question 09. Persistent postoperative hoarseness with aspiration requires what? A. Specialist evaluationB. Reassurance because surgery explains everythingC. Waiting a year without reviewD. Only nasal decongestants

Question 10. How should suspected malignancy be explained? A. As certain cancer before testingB. As impossible without painC. As a concern requiring assessment, not a confirmed diagnosisD. As a reason to avoid referral

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.