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EN4.40-44 | Larynx Voice and Airway — Assignment

Grading Rubric — Larynx Voice and Airway — Assignment Rubric

Criterion	Points	Full-marks descriptor
EN4.40 & EN4.42 — Hoarseness Assessment and Laryngeal Malignancy	8 pts	Exceeds: Correctly identifies the 3-week threshold for laryngoscopy; accurately distinguishes glottic from supraglottic carcinoma (symptom onset, lymphatic drainage, prognosis); correctly lists investigations (laryngoscopy + biopsy as primary, CT/MRI for staging); explains significance of vocal cord palsy with correct RLN anatomy (left vs right)
EN4.41 & EN4.43 — Benign Laryngeal Disease and Stridor	6 pts	Exceeds: Correctly identifies the benign lesion (vocal cord nodules vs polyp distinction stated); accurate explanation of stridor phase-to-level localisation (inspiratory=supraglottic, biphasic=glottis/subglottis); correct age-based differential; management of acute stridor in correct priority sequence (airway first)
EN4.44 — Tracheostomy: Indication, Technique and Care	4 pts	Exceeds: Correctly identifies tracheostomy as the elective airway (2nd-3rd ring) vs cricothyroidotomy as the emergency airway (cricothyroid membrane); accurately lists post-tracheostomy care principles; correctly identifies inner cannula removal and suctioning as the first response to tube obstruction
Quality of Clinical Reasoning and Communication	2 pts	Exceeds: Responses are logically structured with clear clinical reasoning; anatomy linked to clinical consequences; management steps prioritised correctly; free of factual errors