This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Voice and Speech Disorders, Subject name: ENT
[{'content': 'Young man whose voice has not been broken is called: (PGI June 2008) \nSelect and explain. \nA. Puberphonia, B. Androphonia, C. Plica ventricularis, D. Functional aphonia', 'role': 'user'}, {'content': "Answer: A \nExplanation: Ans.: A. (Puberphonia) Puberphonia or Mutational Falsetto Voice Dhingra 5th/334Normally there is change of high pitch voice to low pitch from childhood to the adults. It occurs as the larynx matures at puberty, vocal cords lengthen & the voice changes.Failure of this change leads to persistence of childhood high pitched voice & is called puberphonia Q. It is seen in boys who are emotionally immature, feel insecure & show- excessive fixation to thier mother.This is a feature exclusive to malesTreatment is training the body to produce low-pitched voice. Pressing the thyroid prominence in a backward and downward direction relaxes the overstreched cords and low tone voice can be produce (Gutzmann's pressure test).In Dysphonia Plica Ventricularis (Ventricular dysphonia) Q Dhingra 5th/334Here voice is produced by ventricular folds (false cords) which have taken over the function of true cords.Voice is rough, low pitched & unpleasant.Functional Aphonia or Hysterical Aphonia Q Dhingra 5th/334It is a functinal disorder mostly seen in emotionally labile females in the age group of 15-30 years. Patient communicates with whisper.", 'role': 'assistant'}]