**Core Concept**
The recurrent laryngeal nerve (RLN) is a branch of the vagus nerve (cranial nerve X) that supplies the intrinsic muscles of the larynx, except for one crucial exception. The RLN is responsible for providing motor innervation to the muscles involved in vocal cord movement and tension, playing a vital role in voice production and maintaining a patent airway.
**Why the Correct Answer is Right**
The correct answer is not supplied by the recurrent laryngeal nerve because it is innervated by a different cranial nerve. The cricothyroid muscle is responsible for tensing the vocal cords and is the only intrinsic laryngeal muscle not supplied by the recurrent laryngeal nerve. Instead, it is innervated by the external laryngeal nerve, a branch of the superior laryngeal nerve (another branch of the vagus nerve). This unique innervation allows for precise control over vocal cord tension.
**Why Each Wrong Option is Incorrect**
**Option A:** The posterior cricoarytenoid muscle is actually supplied by the recurrent laryngeal nerve and is the only muscle that abducts the vocal cords.
**Option B:** The arytenoid muscles (transverse and oblique) are supplied by the recurrent laryngeal nerve and are involved in vocal cord closure.
**Option C:** The thyroarytenoid muscle is supplied by the recurrent laryngeal nerve and is involved in vocal cord relaxation.
**Clinical Pearl / High-Yield Fact**
To remember the exception to the recurrent laryngeal nerve's supply, recall that the cricothyroid muscle is "different" due to its unique innervation by the external laryngeal nerve. This distinct feature is essential for surgeons and anesthesiologists to recognize during procedures involving the larynx.
**Correct Answer: A. Posterior cricoarytenoid muscle**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.