Hoarseness & Vocal Cord Lesions — Topic Test
14 questions · exam mode (answers revealed at the end). 18 min suggested.
A 58-year-old chronic smoker presents with a 3-month history of progressive hoarseness but no stridor or dysphagia. Indirect laryngoscopy reveals a proliferative lesion confined to the mid-portion of the right true vocal cord with preserved cord mobility. Based on the lymphatic anatomy of this subsite, what is the expected status of cervical nodes at presentation?
ARetropharyngeal nodes are the first echelon
BLevel VI nodes are involved first
CBilateral level II nodes are commonly involved early
DNodal metastasis is uncommon because the glottis is poorly lymphatic