A 50-year-old teacher presents with a 3-month history of progressive hoarseness. She is a non-smoker and drinks alcohol rarely. She denies throat pain...

Question

A 50-year-old teacher presents with a 3-month history of progressive hoarseness. She is a non-smoker and drinks alcohol rarely. She denies throat pain, dysphagia, or weight loss. Laryngoscopy reveals bilateral vocal cord nodules. What is the most appropriate initial management?

Accepted Answer

Voice rest and referral to speech and language therapy

Answer

Trial of proton pump inhibitor (PPI) therapy

Answer

Surgical excision of nodules

Answer

Antibiotics

Answer

Reassurance and follow-up in 6 months

mrcgp akt MCQ (SBA): Vocal Cord Nodules

A 50-year-old teacher presents with a 3-month history of progressive hoarseness. She is a non-smoker and drinks alcohol rarely. She denies throat pain, dysphagia, or weight loss. Laryngoscopy reveals bilateral vocal cord nodules. What is the most appropriate initial management?