85% OFFLimited time offer

Enter your email to get your 85% OFF code and unlock the full NEET PG question bank on the app.

85% OFFLimited time offer

Back to UPSC-CMS 2010

UPSC-CMS 2010 — ENT

Q: What is the most common indication of tracheostomy in a child?

Vocal cord paralysis. ***Vocal cord paralysis*** - Among the options listed, **vocal cord paralysis** is the most appropriate answer as it remains a relevant pediatric indication for tracheostomy in current practice. - **Bilateral vocal cord paralysis** can cause significant airway obstruction requiring tracheostomy, especially in congenital cases or after cardiac surgery. - Note: In modern pediatric practice, the overall most common indications are **prolonged mechanical ventilation** and **congenital airway anomalies**, but among the specific causes listed here, vocal cord paralysis is the best answer. *Laryngeal diphtheria* - While **laryngeal diphtheria** historically was a common cause of pediatric tracheostomy due to pseudomembrane formation causing severe airway obstruction, its incidence has drastically decreased with **widespread immunization programs**. - In the pre-vaccination era, this was indeed a leading indication, but it is now rare in countries with effective vaccination coverage. *Poliomyelitis* - **Poliomyelitis** can affect respiratory muscles leading to ventilatory failure requiring tracheostomy, but with **global eradication efforts and vaccination**, it is now extremely rare. - This was a significant historical indication but is no longer relevant in most parts of the world. *Carcinoma of larynx* - **Laryngeal carcinoma** is predominantly an adult malignancy with peak incidence in the 6th-7th decades, associated with smoking and alcohol use. - It is **extremely rare in the pediatric population**, making it the least likely indication for tracheostomy in children among all the options listed. [Practice more ENT PYQs on OnCourse]

1 Previous Year Questions with Answers & Explanations

Questions

All Subjects Anatomy (7)Biochemistry (2)Community Medicine (26)ENT (1)Forensic Medicine (1)Internal Medicine (4)Microbiology (6)Obstetrics and Gynecology (28)Ophthalmology (1)Orthopaedics (1)Pathology (9)Pediatrics (3)Pharmacology (5)Physiology (1)Radiology (3)Surgery (14)

What is the most common indication of tracheostomy in a child?

UPSC-CMS 2010 ENT PYQs | 1+ Solved MCQs – Oncourse AI