What this deck covers
Stridor in twelve board-style clinical cases with worked explanations, written for the Saudi Prometric (SCFHS) exam, MRCPCH Part 1 and Part 2, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
The 12 cases, in order
- A child arriving at night
- What the noise is coming from
- A request to the radiographer
- A child who will not lie down
- A question about size
- Noisy from the early weeks
- After a stay in intensive care
- A moment at the table
- A voice that has changed
- The croup that will not settle
- A noise that is getting louder
- A call to the ward at midnight
Diagnoses and management options tested
Across the twelve cases you are asked to choose between options such as: Bacterial tracheitis — start intravenous antibiotics now, Anaphylaxis — give intramuscular adrenaline immediately, Laryngomalacia; reassure, and monitor his growth, Laryngeal candidiasis; treat with a systemic antifungal, A laryngeal cleft; refer for surgical repair, Recurrent respiratory papillomatosis; repeated debulking, Bacterial tracheitis, most often staphylococcal, Retropharyngeal abscess causing external compression, Vocal cord palsy following a birth injury.
Exam pearls from this deck
- The figures show the narrowing sitting below the cords, in the subglottis.
- Croup is a clinical diagnosis, and a typical case needs no imaging at all.
- Rapid onset, drooling, a muffled voice and no cough separate this from croup at once.
- Laryngomalacia is the commonest cause of chronic stridor in infancy, and it is supraglottic.
- Bacterial tracheitis begins as croup, then the child becomes properly septic.
- Nebulised adrenaline is added for stridor at rest with recession — not needed here.
The deck above is free and needs no sign-in. Work through it once for recognition, then again a week later for recall — the questions are written in the format the exam actually uses.
More from this system: all respiratory decks and question sets · the free Pediatric Prometric question bank · pediatric reference values.
