WBR1035
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | |
| Sub Category | SubCategory::Head and Neck |
| Prompt | [[Prompt::A 3 year-old boy is brought to the emergency due to a cough and a "whistling" sound with breathing. Three days ago, he developed fever, a hoarse cry, rhinorrhea and a progressively worsening, harsh, "barky" cough. His immunizations are up-to-date. His 6-year-old brother also has cold symptoms. His temperature is 37.5C (99.5F),pulse is 140/min, and respirations are 36/min. On examination, he is conscious, in mild respiratory distress, has a dry barking cough. His pharynx is slightly injected, but without enlargement or asymmetry. The lungs are clear on auscultation. Lateral neck x-rays reveal a mildly narrowed subglottic region. What is the most likely diagnosis?]] |
| Answer A | AnswerA::Foreign body aspiration |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Epiglottitis |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::Laryngeal diphtheria |
| Answer C Explanation | [[AnswerCExp::Incorrect-[[]]]] |
| Answer D | AnswerD::'''Croup''' |
| Answer D Explanation | [[AnswerDExp::Correct-[[]].]] |
| Answer E | AnswerE::Laryngo-tracheo-broncho pneumonitis |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective:
Croup ??XX?? |
| Approved | Approved::No |
| Keyword | WBRKeyword::Croup, WBRKeyword::Stridor |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |