Ch. 387

Question 1

Choking is a leading cause of morbidity and mortality among children, especially those of what age group

Answer 1

Younger than age 4 yr

Question 2

Most common objects that children choke on are

Answer 2

Food, coins, balloons, and toys

Question 3

One-third of aspirated objects are ___

Answer 3

nuts, particularly peanuts

Question 4

Three stages of symptoms may result from aspiration of an object into the airway

Answer 4

1) Initial event 2) Asymptomatic interval 3) Complications

Question 5

This stage is most treacherous and accounts for a large percentage of delayed diagnoses and overlooked foreign bodies

Answer 5

Asymptomatic interval

Question 6

MC bronchial foreign body

Answer 6

Nuts

Question 7

___ can help define radiolucent foreign bodies such as fish bones

Answer 7

CT

Question 8

T/F Foreign body aspiration: If there is a high index of suspicion, bronchoscopy should be performed despite negative imaging studies

Answer 8

T

Question 9

treatment of choice for airway foreign bodies

Answer 9

prompt endoscopic removal with rigid instruments

Question 10

Complete obstruction asphyxiates the child unless it is promptly relieved with the Heimlich maneuver

Answer 10

Laryngeal FB

Question 11

Choking and aspiration occurs in 90% of patients with

___, stridor in 60%, and wheezing in 50%

Answer 11

tracheal foreign bodies

Question 12

Bronchial FB: ___ is an immediate complication, in contrast to, which is a late finding

Answer 12

Air trapping, atelectasis

Question 13

___ is most helpful in diagnosis of bronchial FB

Answer 13

A good expiratory posteroanterior chest film