Q:

A teacher had a respiratory infection for which she was prescribed antibiotics. After the antibiotic course when she rejoined school, she lost her voice completely. What is the single most appropriate diagnosis?

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A teacher had a respiratory infection for which she was prescribed antibiotics. After the antibiotic course when she rejoined school, she lost her voice completely. What is the single most appropriate diagnosis?


  1. Recurrent laryngeal nerve palsy
  2. Angioedema
  3. Laryngeal obstruction by medication
  4. Laryngitis
  5. Functional dysphonia

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The key is E. Functional dysphonia. [Functional dysphonia is poor voice quality without any obvious anatomical, neurological or other organic difficulties affecting the larynx or voice box. It is often secondary to viral infection].

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