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
Which of the following is not true about spasmodic dysphonia? 
Select and explain. 
A. Patient with the abductor type have strained and strangled voice, B. Botulinum toxin is the standard treatment for it, C. May be associated with other focal dysphonia, D. Local laryngeal disorder
D: Local laryngeal disorder
Answer: D: Local laryngeal disorder 
Explanation: Spasmodic dysphonia is not a local laryngeal disorder but a neurolgical disorder and is often associated with other dystonias, e. g. blepharospasm, oromandibular dystonias.