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Foreign body aspiration — MCCQE Part 1 MCQ

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EasyWheezingForeign body aspirationMCCQE Part 1

A 3-year-old girl suddenly chokes while playing with small toys, then develops wheeze localised to the right chest. CXR: right lung hyperinflation. Most appropriate next step?

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Correct answer: A — Rigid bronchoscopy

Sudden choking + unilateral wheeze + hyperinflation = foreign body aspiration. Rigid bronchoscopy under GA is definitive. Most aspirated FBs lodge in right main bronchus. Bag-mask/physiotherapy may worsen position.

Reference: CPS Foreign Body Aspiration