Question

Tracheostomy indication is:

• A. Vocal cord replacement
• B. Pharynx replacement
• C. Tracheomalacia
• D. Foreign body obstructing airway

Answer 1

The Correct Option is D

Step 1: Ask what tracheostomy is meant to achieve - it relieves or bypasses an obstructed or compromised airway and allows long-term ventilation and secretion clearance.
Step 2: Of the four options, vocal cord replacement and pharynx replacement are not recognised clinical entities, so they can be discarded immediately.
Step 3: Tracheomalacia (soft, collapsing trachea) is usually managed with supportive measures, stenting or surgical repair rather than being a primary tracheostomy indication.
Step 4: An impacted foreign body that blocks the airway is an immediate life-threatening obstruction; when it cannot be cleared from above, a surgical airway such as tracheostomy is indicated. This is the correct choice.
\[\boxed{\text{Foreign body obstructing airway}}\]