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ENT · Oesophagus: button battery
Sample itemA child swallows a button battery that is lodged in the oesophagus. What is the appropriate management?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Emergency endoscopic removal
An oesophageal button battery causes liquefactive necrosis within hours from electrical current and can perforate or fistulise to the aorta or trachea. It must be removed urgently, ideally within two hours.
Option by option
A. Give oral laxatives
Laxatives do not help an impacted battery.
B. Observation for passage in stool
Observation risks severe injury.
C. Induce vomiting
Vomiting can aspirate or worsen injury.
D. Emergency endoscopic removal (correct)
Correct. Urgent removal prevents tissue necrosis.
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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