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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
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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
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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
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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)


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