Larygeal And Tracheal Airway Disorders

Question 1

Most common cause of stridor in newborns

Answer 1

Laryngomalacia

Question 2

Stridor in laryngomalacia worsens during

Answer 2

Feeding, crying, supine

First 6 months

Question 3

Severe laryngomalacia presents with

Answer 3

Apnea, cyanosis, severe retractions, failure to thrive

Question 4

Laryngomalacia usually resolves spontaneously by what age

Answer 4

1 year of age

Question 5

Diagnosis of laryngomalacia is confirmed by

Answer 5

Awake flexible transnasal fiberoptic laryngoscopy

Question 6

Characteristic findings of laryngomalacia

Answer 6

Short aryepiglottic folds
Prolapse of the cuneiform cartilages
Tightly curled omega shaped epiglottis

Question 7

Characteristic findings of laryngomalacia

Answer 7

Short aryepiglottic folds
Prolapse of the cuneiform cartilages
Tightly curled omega shaped epiglottis

Question 8

Operative procedure of choice for laryngomalacia

Answer 8

Supraglottoplasty

Question 9

Subglottic stenosis can be classified as

Answer 9

Congenital or acquired

Question 10

Congenital subglottic stenosis in neonates is defined as ___

Answer 10

4.0 mm or less

Question 11

Congenital subglottic stenosis in neonates is defined as ___

Answer 11

4.0 mm or less

Question 12

Levels of SGS are graded according to

Answer 12

Myer Cotton grading system

Question 13

Management for SGS GRADE 1 OR II

Answer 13

Observation

Question 14

Imaging for SGS

Answer 14

Soft tissue neck films inspiratory and expiratory

Fluoroscopy, Chest Xray

Question 15

Single most important investigation for SGS

Answer 15

High kilovoltage airway films to identify “steepling” and possible “tracheal stenosis”

Question 16

Gold standard evaluation for SGS

Answer 16

Endoscopy

Question 17

Most common congenital tracheal anomaly

Answer 17

Tracheomalacia

Question 18

Most tracheomalacia involve

Answer 18

Posterior malacia of trachealis

Question 19

In tracheomalacia, most common associated abnormalities include

Answer 19

Laryngeal clefts, TEF, bronchomalacia

Question 20

Brassu cough, wheezing, respi distress when agitated, dying spells

Answer 20

Tracheomalacia

Question 21

Key diagnostic elements during flexible or rigid bronchoscopy

Answer 21

Severity, location, pressure support that improves malacia

Question 22

Most common intervention in tracheomalacia

Answer 22

Tracheotomy