Laryngomalacia Practice Questions

Question 1

2 months old child having birth weight 2kg, with poor feeding, very sleepy and wheezing. The diagnosis is?

Accepted Answer

Very severe disease

Answer

No evidence of pneumonia

Answer

Severe respiratory infection

Answer

No diagnosis

Question 2

Most common cause of intermittent stridor in a 10-day-old child shortly after birth is:

Accepted Answer

Laryngomalacia

Answer

Hypertrophy of turbinate

Answer

Foreign body

Answer

Vocal nodule

Question 3

Which of the following conditions is treated by laser-assisted uvulopalatoplasty?

Accepted Answer

Snoring

Answer

Stammering

Answer

Pharyngotonsillitis

Answer

Cleft palate

Question 4

Which of the following statements about the upper airways of a neonate is true?

Accepted Answer

The epiglottis is large and omega-shaped.

Answer

The larynx extends from C1 to C3.

Answer

More than one of the above statements is true.

Answer

The cricoid cartilage is the narrowest part of the airway in neonates.

Question 5

Esophageal manometry was performed - it revealed panesophageal pressurization with distal contractile integrity as >450mm Hg pressure in the body. What will be the diagnosis?

Accepted Answer

Type 3 achalasia

Answer

Type 2 achalasia

Answer

Jackhammer esophagus

Answer

Type 1 achalasia (classic achalasia)

Question 6

Which of the following statements about laryngomalacia is true?

Accepted Answer

It typically presents with inspiratory stridor.

Answer

It is characterized by an omega-shaped epiglottis.

Answer

It requires immediate surgical intervention.

Answer

It always requires surgical intervention in newborns.

Question 7

Laser uvulopalatoplasty is indicated for which of the following conditions?

Accepted Answer

Obstructive sleep apnea

Answer

Pharyngotonsillitis

Answer

Cleft palate

Answer

Stammering

Question 8

A child presents with high grade fever, inspiratory stridor and develops swallowing difficulty with drooling of saliva since last 4-6 hours. Which of the following treatment is recommended apart from general airway management?

Accepted Answer

IV ceftriaxone

Answer

Anti-diphtheria toxin

Answer

Corticosteroids

Answer

Nebulized racemic epinephrine

Question 9

All of the following are correct about the image shown except:

Accepted Answer

High pitched expiratory stridor

Answer

Omega shaped epiglottis

Answer

Cry is normal

Answer

10% cases need surgery due to development of OSA or Cor Pulmonale

Question 10

All of the following statements about laryngomalacia are true, except for:

Accepted Answer

Surgical Tracheostomy is the treatment of choice

Answer

It is associated with an omega shaped epiglottis

Answer

It is the most common congenital anomaly of the larynx

Answer

Stridor is increased on crying and relieved on lying prone

Laryngomalacia — MCQs

Laryngomalacia — MCQs

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