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ENT · Larynx: laryngeal trauma
Sample itemAfter a handlebar injury to the neck, a rider has hoarseness, neck swelling and surgical emphysema but is breathing comfortably. What is the priority?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Airway assessment and securing it early
Laryngeal trauma can produce rapid airway compromise from oedema or haematoma. The airway is secured early (often by awake tracheostomy) before imaging with CT, and endoscopy assesses the injury.
Option by option
A. Discharge with analgesia
Discharge risks deterioration.
B. Immediate CT without monitoring
Imaging without airway planning is unsafe.
C. Nasogastric feeding only
Feeding does not address the airway.
D. Airway assessment and securing it early (correct)
Correct. Early airway control is the priority.
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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