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Aspiration pneumonia — SCE Respiratory MCQ

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ModerateRespiratory InfectionsAspiration pneumoniaSCE Respiratory

An 82-year-old man with Parkinson's disease develops fever and cough after choking during a meal. Chest radiograph shows right lower-lobe consolidation. He has poor swallow and recurrent episodes after eating. What is the most likely underlying cause?

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Correct answer: D — Oropharyngeal aspiration due to dysphagia

A neurological swallowing disorder with choking and dependent-zone consolidation points to aspiration pneumonia from oropharyngeal dysphagia. Alpha-1 antitrypsin deficiency causes emphysema rather than meal-related consolidation. Thoracic duct injury causes chylothorax, not recurrent aspiration events.

Reference: NICE NG250 Pneumonia in Adults; BTS Aspiration Pneumonia Guidance