Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Pediatric Rounds Review Questions

An 18-Month-Old Boy with Progressive Hoarseness

Russell A. Faust, PhD, MD

Dr. Faust is the Carls Foundation Endowed Chair of Otolaryngology and the Director of the Carls Communications Disorders Program, Children’s Hospital of Michigan; he also is a member of the faculty of the Karmanos Cancer Institute, Detroit, MI.

The questions below are based on the December 2003 Pediatric Rounds article, “An 18-Month-Old Boy with Progressive Hoarseness.”

Choose the single best answer for each question.

1. Which of the following statements regarding the onset and chronology of dysphonia in children is correct?
  1. Dysphonia and/or hoarseness in a child for more than 1 week warrant a thorough investigation
  2. Dysphonia present at birth and associated with stridor usually has an infectious etiology
  3. Dysphonia that is worse in morning may suggest gastroesophageal reflux laryngitis
  4. Intermittent episodes of dysphonia, stable over time, suggest a neoplastic process
  5. Recent, progressive voice change lasting greater than 2 weeks is less concerning than longstanding childhood hoarseness lasting years
Click here to compare your answer.

2. Which of the following statements regarding voice disorders in children is correct?

  1. They are most commonly due to neoplastic causes
  2. They generally are easier to evaluate than those in adults
  3. They have similar etiologies to voice disorders in adults
  4. They mandate detailed audiologic assessment
  5. They usually require surgical intervention
Click here to compare your answer.

3. Although most of the human papillomavirus (HPV) genetic types can infect respiratory mucosa, which of the following pairs of HPV types is most closely associated with recurrent respiratory papillomatosis (RRP)?
  1. HPV 5, HPV 10
  2. HPV 6, HPV 11
  3. HPV 16, HPV 18
  4. HPV 31, HPV 33
  5. HPV 79, HPV 84
Click here to compare your answer.

4. Which of the following therapeutic modalities is currently the mainstay of treatment of RRP?

  1. CO2 laser treatment
  2. Cidofovir injections
  3. Interferon treatment
  4. Microdebrider procedures
  5. Photodynamic therapy
Click here to compare your answer.

5. All of the following signs or symptoms are often associated with the new diagnosis of laryngeal RRP in a child EXCEPT:

  1. Cough
  2. Dysphonia
  3. Respiratory distress
  4. Snoring
  5. Stridor
Click here to compare your answer.

Click here to read “An 18-Month-Old Boy with Progressive Hoarseness” (Requires Adobe Acrobat Reader)


Check our archive to test your knowledge in other pediatric cases:

Pediatric Rounds Review Questions Archives

If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2008, Turner White Communications
Updated 1/04/08 • kkj