Foreign Body Aspiration and Stridor in Children: Board Questions

What this deck covers

Foreign Body Aspiration and Stridor in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Fine now, but only on one side
2. She had not thought to mention it
3. The film looked fine
4. Getting it out safely
5. Silent and going blue
6. Loud, red, and breathing
7. Three infections, one lobe
8. Which side it usually goes
9. Why a peanut is worse
10. Noisy since he was two weeks old
11. Forty minutes to take a feed
12. A weak cry after heart surgery
13. Red marks on his chin
14. His voice has almost gone
15. The fourth admission this year
16. What the timing tells you
17. Which baby cannot wait
18. Advice for the nursery

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: An inhaled foreign body, The choking episode, Rigid bronchoscopy under general anaesthetic, The delay of four days, Laryngomalacia, Warty growths on the vocal cords acquired at birth, Recurrent viral illness alone, At or just below the cords, or in the upper trachea, Teach older siblings to perform back blows.

Clinical pearls from this deck

• Listen to both sides separately. One-sided wheeze in a toddler is the whole diagnosis.
• Ask the choking question in every unexplained wheeze. Nobody offers it unprompted.
• A normal chest film is the most dangerous result in this diagnosis. It reassures the wrong person.
• Never physio a suspected inhaled object. You can move a partial block into a complete one.
• Silence is the emergency. A child who can cough is doing better than anything you can do.
• If he is coughing, get out of the way. Your hands are worse than his cough.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Respiratory Board Questions case decks · pediatric reference values.