Question 1: Accidental choking of respiratory passage by bolus of food:
- A. Cafe coronary (Correct Answer)
- B. Aspiration
- C. Gagging
- D. Laryngospasm
Explanation: ***Cafe coronary***
- This term refers to **sudden collapse and death** that occurs during a meal, often mistaken for a heart attack, but is actually caused by **choking on a large piece of food** that obstructs the airway.
- The obstruction leads to **asphyxiation** due to the bolus of food blocking the respiratory passage.
*Aspiration*
- **Aspiration** is the inhalation of food, liquid, or stomach contents into the lungs, which can lead to **pneumonia** or other respiratory complications.
- While choking involves food entering the respiratory passage, aspiration more specifically refers to the **entry of foreign material into the lower respiratory tract**, not necessarily a complete obstruction causing immediate collapse.
*Gagging*
- **Gagging** is a reflex action triggered by touching the back of the throat, designed to prevent foreign objects from entering the throat.
- It is a **protective mechanism** against choking rather than the choking event itself, and doesn't describe the accidental bolus obstruction.
*Laryngospasm*
- **Laryngospasm** is an involuntary spasm of the vocal cords that temporarily closes the airway, often triggered by irritation or an anesthetic.
- While it results in airway obstruction, it is a **muscular contraction** of the larynx, not the physical blockage by a food bolus.