Answers:
How quickly can button batteries can cause mucosal erosion once ingested?
A) immediately on ingestion
B) within 30 minutes
C) within 1 hour
D) within 3 hours
E) within 6 hours
Button batteries can cause mucosal erosion within 6 hours which is why it is important to find out when the ingestion occurred and removal should be performed ASAP.
Under what circumstances is it appropriate to observe a patient who has ingested a coin for possible spontaneous passage?
An asymptomatic older kid w/ distal or midesophageal coin which has been there for less than 24hrs can be observed for 8-16 hrs for spontaneous passage. In young kids/coin present >24hrs/sharp/caustic foreign body one should intervene as soon as possible and not delay treatment by observing.
MC Question:
After retrieving a peanut from an 8 year old's airway the surgeon notices a significant amount of edema and decides to give dexamethasone. What dose should be administered to the patient?
A) .1-.5 mg/kg
B) .5-1.0 mg/kg
C) 1.0-1.5mg/kg
D) 1.5-3.0mg/kg
E) Dexamethasone is not appropriate in this situation.
Free Response Question:
Why should airway foreign bodies be retrieved while the patient is spontaneously breathing opposed to administering a paralytic and ventilating the patient?
Quick Facts:
Airway Foreign Body Prognosis
-Most have full recovery.
-Worst outcome is when there is delay in diagnosis.
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