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Pneumothorax — RACP Paediatrics MCQ

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ModerateRespiratoryPneumothoraxRACP Paediatrics

A 5-year-old child presents with acute respiratory distress. There is reduced air entry on the right with hyperresonance. Trachea is deviated to the left. What is the most likely diagnosis?

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Correct answer: D — Right pneumothorax

Reduced air entry with hyperresonance and contralateral tracheal deviation indicates tension pneumothorax requiring immediate needle decompression followed by chest drain.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Pneumothorax