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ENT · Airway foreign body
Sample itemWhat finding is most concerning for an inhaled foreign body in a child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sudden cough with unilateral reduced breath sounds after choking
Sudden choking followed by unilateral wheeze or reduced breath sounds suggests bronchial foreign body aspiration and requires urgent assessment.
Option by option
A. Sudden cough with unilateral reduced breath sounds after choking (correct)
Correct: abrupt unilateral airway signs after choking are classic.
B. Intermittent snoring over several years
Chronic snoring has a different upper-airway differential.
C. Painless earwax impaction
Earwax does not cause lower-airway signs.
D. Gradual bilateral nasal congestion in spring
Seasonal congestion suggests allergic rhinitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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