A 63-year-old professional operatic soprano noted sudden breathiness and loss of quality and projection in voice

Question Number 0686

Question:
A 63-year-old professional operatic soprano noted sudden breathiness and loss of quality and projection in voice. Laryngoscopy was normal. She was treated with steroids and intensive anti-reflux therapy but persisitent dysphonia caused by her condition was so severe that she felt her career was over. The next best test is

a) laryngoscopy
b) Computed tomography of the brain
c) strobovideolaryngoscopy
d) thyroid levels
e) barium meal


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