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    SubjectsMedicineSpirometry — Variable Extrathoracic Upper Airway Obstruction (Vocal Cord Dysfunction)
    ClinicalMedicine

    Spirometry — Variable Extrathoracic Upper Airway Obstruction (Vocal Cord Dysfunction)

    1 MCQs in Medicine for NEET PG

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    hard

    A 24-year-old female athlete presents with recurrent episodes of dyspnea and biphasic stridor triggered by exercise and emotional stress. She has been treated for asthma for 2 years without improvement. Spirometry between episodes is normal, but during an acute episode, the flow-volume loop shows the pattern marked **A** in the diagram. Laryngoscopy during an acute episode reveals paradoxical adduction of the true vocal cords during inspiration. Which of the following is the most likely diagnosis?

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