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Pediatrics · Respiratory: foreign body aspiration
Sample itemA toddler suddenly coughs while eating peanuts and later has unilateral reduced breath sounds and localized wheeze. What is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Foreign body aspiration
Foreign-body aspiration often follows a sudden choking episode and may cause unilateral wheeze or reduced air entry. Bronchoscopy is used for diagnosis and removal when suspicion is significant.
Option by option
A. Viral bronchiolitis
Bronchiolitis follows coryza and usually has bilateral diffuse signs.
B. Croup
Croup produces upper-airway stridor and barking cough.
C. Bacterial pneumonia
Pneumonia may cause focal signs but usually has fever and less abrupt choking history.
D. Foreign body aspiration (correct)
Correct. Abrupt onset with unilateral signs is characteristic.
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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