This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Vocal Fold Palsy, Subject name: ENT
A 26 year old female complaining of scratchy croaky voice. Which of the following is true: 
Select and explain. 
A. The best treatment is botulinum in cricoarytenoid, B. Type I thyroplasty can be used as treatment, C. Adductor dysphonia is the cause, D. Abductor dysphonia is the cause
C: Adductor dysphonia is the cause
Answer: C: Adductor dysphonia is the cause 
Explanation: Scratchy croaky is a high pitched sound arising due to rubbing of vocal cords in adductor dysphonias. The best treatment here will be percutaneous botulinum injection in the thyroarytenoid muscle.