So, in the context of an obstructed airway, are voice changes, difficulty swallowing secretions and stridor or wheeze history, or examination findings?
"..more precisely, it depends on how you ask the question and how you answer it...."
So, if you were asked what features you would inquire about on history it would be important to phrase your answer correctly.
- Ask the patient if their voice has changed today
- Ask the patient if they can swallow their own spit
- Ask the patient if they have noticed any unusual noises when they take a deep breath in
Alternatively, to examine the patient for the same three things, a candidate would need to write a little differently.
- Listen for a "hot potato" voice
- Look for excessive drooling or tongue protrusion
- Listen/auscultate for stridor/upper airway noise.
It brings us back to a common theme here at fellowshipexam.com. How you answer (in this case the use of appropriate verbs and context) is just as important as what you answer.