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ENT · Laryngeal disease: croup
Sample itemA toddler has a barking cough, hoarse voice, and inspiratory stridor that is worse overnight. What is the likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Croup
Croup is viral laryngotracheobronchitis causing barking cough, hoarseness, and stridor. Severity depends on work of breathing, stridor at rest, and fatigue.
Option by option
A. Bronchiolitis
Bronchiolitis causes lower-airway wheeze or crackles.
B. Epiglottitis
Epiglottitis has prominent drooling and toxic appearance.
C. Croup (correct)
Correct. Barking cough with stridor is classic croup.
D. Foreign body in the esophagus
Esophageal foreign body causes dysphagia rather than typical barky cough.
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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