WBR1035: Difference between revisions
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{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor={{AZ}} | |QuestionAuthor={{AZ}} | ||
|ExamType=USMLE Step 2 CK | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|MainCategory=Pediatrics | |||
|MainCategory=Pediatrics | |||
|SubCategory=Head and Neck, Respiratory | |||
|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? | |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? | ||
|Explanation='''Educational Objective:''' | |Explanation='''Educational Objective:''' | ||
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|AnswerC=Laryngeal diphtheria | |AnswerC=Laryngeal diphtheria | ||
|AnswerCExp='''Incorrect'''-[[]] | |AnswerCExp='''Incorrect'''-[[]] | ||
|AnswerD=Croup | |AnswerD='''Croup''' | ||
|AnswerDExp='''Correct'''-[[]]. | |AnswerDExp='''Correct'''-[[]]. | ||
|AnswerE=Laryngo-tracheo-broncho pneumonitis | |AnswerE=Laryngo-tracheo-broncho pneumonitis | ||
|AnswerEExp='''Incorrect'''-[[]] | |AnswerEExp='''Incorrect'''-[[]] | ||
|RightAnswer=C | |RightAnswer=C | ||
|WBRKeyword= | |WBRKeyword=Croup, Stridor | ||
|Approved=No | |Approved=No | ||
}} | }} | ||
Revision as of 01:06, 27 January 2014
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Pediatrics |
| Sub Category | SubCategory::Head and Neck, SubCategory::Respiratory |
| 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:
Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Croup, WBRKeyword::Stridor |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |