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ENT · Oesophagus: corrosive ingestion
Sample itemWhich step is contraindicated after ingestion of a corrosive alkali?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Induction of vomiting
Vomiting re-exposes the oesophagus and airway to the corrosive and may cause aspiration or perforation. Neutralising agents are also avoided. Early endoscopy assesses burns, and stricture is the late complication.
Option by option
A. Early endoscopy within 24 hours
Early endoscopy is recommended.
B. Intravenous fluids and analgesia
Fluids and analgesia are supportive standard care.
C. Induction of vomiting (correct)
Correct. Do not induce vomiting.
D. Airway assessment
Airway assessment is essential.
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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