This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
[{'content': 'Supraglottic Ca present with -a) Hot potato voiceb) Aspirationc) Smoking is common risk factord) Pain is MC manifestatione) LN metastasis is uncommon \nSelect and explain. \nA. acd, B. acd, C. bcd, D. abd', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Supraglottic Cancer\n\nIt is the second most common laryngeal cancer (most common is glottic cancer)\nMost common initial symptom - pain on swallowing. (option d is correct)\nMost common / first sign - mass is neck\nSmall supraglottic lesions not extending to glottis – may present with globus or foreign body sensation and parasthesia\nIf exophytic they may cause hemoptysis\nLarge tumors can cause “hot potato voice” (Option ‘a’ is correct)\nHoarseness is a late symptom\nSmoking is a risk for all laryngeal carcinomas. (option c is correct)\nLymphatic spread occurs early in case of supraglottic cancer. (as it has rich supply of lymphatics).\n\nNOTE:\nHoarseness of voice is the presenting symptom in glottic carcinoma.', 'role': 'assistant'}]