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ENT · Pediatric ENT: stridor
Sample itemAn infant has chronic inspiratory stridor that worsens when feeding or lying supine but is otherwise thriving. What is the most likely cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Laryngomalacia
Laryngomalacia is the commonest cause of congenital stridor and typically worsens with feeding or supine position. Many cases improve as the airway matures, but poor weight gain or severe distress needs assessment.
Option by option
A. Laryngomalacia (correct)
Correct. Positional chronic infant stridor is typical of laryngomalacia.
B. Retropharyngeal abscess
Retropharyngeal abscess causes fever, neck symptoms, and acute illness.
C. Epiglottitis
Epiglottitis is acute and severe with drooling and toxicity.
D. Croup
Croup is an acute viral illness with barking 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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