Pediatric Foreign Body/Caustic Ingestion

• What is the most common location of an esophageal foreign body in children​?

• Cricopharyngeus Muscle

• Aortic Arch

• Lower esophageal sphincter

• thoracic inlet

Approximately what proportion of airway foreign bodies are found at the level of the larynx?

• 3%

• 10%

• 18%

• 32%

Which of the following physical exam findings is NOT found to be a strong predictor of foreign body identified on DLB?

• Wheezing

• Witnessed Choking

• Focal inflation/air trapping

• Atelectasis

An infant is found on imaging to have a foreign body with a length of 4cm and a width of 3cm in their stomach. What is the best management plan?

• Urgent Retrieval

• Elective Retrieval

• Observe 1-2 weeks for spontaneous passage

• Observe for 3-4 weeks for spontaneous passage

What is the most common chemical composition of button batteries associated with clinically significant injury?

• Manganese dioxide

• Zinc-air

• lithium

• silver oxide

What is the most common mechanism of death after button battery ingestion?

• mediastinitis/sepsis

• tracheoesophageal fistula

• respiratory failure

• aortoesophageal fistula

What is the window for opportunity for injury free removal of an esophageal button battery?

• <1 hour

• <2 hours

• <4 hours

• <8 hours

Which of the following is the most common long-term sequelae of caustic esophageal injury?

• Esophageal strictures

• Tracheoesophageal fistula

• Esophageal Carcinoma

• Hypomotility disorders

Which of the following play a role in the pharmacologic management of caustic injury?

• Neutralization

• Antibiotics

• Esophagoscopy

• Emetics

• PPI

For which Zarger stage are corticosteroids warranted?

• All Stages

• Zarger 0-2a

• Zarger 2b

• Zarger 3a

• Zarger 3b