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A patient with an endotracheal tube (ETT) develops wheezing sounds during ventilation. Which condition is most likely?
Question

A patient with an endotracheal tube (ETT) develops wheezing sounds during ventilation. Which condition is most likely?

A.

Tube obstruction with mucus plug

B.

Bronchospasm or laryngospasm

C.

Accidental esophageal intubation

D.

Pneumothorax

Correct option is B

High-pitched wheeze in intubated patients is commonly due to bronchospasm or laryngospasm, causing airflow resistance despite tube patency.
Explanation of options: (a) ✘ Mucus plug causes absent/diminished breath sounds, not wheeze. (b) ✔ Correct; wheeze = airway narrowing from bronchospasm/laryngospasm. (c) ✘ Esophageal intubation = absent breath sounds + gastric inflation, not wheeze. (d) ✘ Pneumothorax = decreased/absent sounds, no wheeze.

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