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Pediatrics · Respiratory: primary ciliary dyskinesia
Sample itemA child has chronic wet cough, recurrent sinusitis, otitis media, and situs inversus. What diagnosis is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Primary ciliary dyskinesia
Primary ciliary dyskinesia impairs mucociliary clearance, causing recurrent sinopulmonary infection, chronic otitis, and sometimes situs inversus. Diagnosis uses specialist functional and genetic testing.
Option by option
A. Primary ciliary dyskinesia (correct)
Correct. Situs inversus with chronic sinopulmonary disease is a key clue.
B. Cystic fibrosis
CF can cause bronchiectasis but not typically situs inversus.
C. Asthma
Asthma causes variable airway obstruction, not situs anomalies.
D. Bronchiolitis
Bronchiolitis is an acute viral illness.
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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