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Foreign body aspiration — RCPSC EM MCQ

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EasyRespiratory emergenciesForeign body aspirationRCPSC EM

CTAS 2. A 4-year-old suddenly coughs while eating peanuts and develops unilateral wheeze. He is afebrile, SpO2 is 96%, and chest x-ray shows right-sided hyperinflation on expiratory view. Breath sounds are reduced on the right. What is the most likely diagnosis?

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Correct answer: BForeign body aspiration

Sudden choking followed by unilateral wheeze and air trapping is classic for aspirated foreign body.

Reference: Canadian Paediatric Society emergency respiratory resources