High-pitched Inspiratory Stridor That in Pediatrics — Case | Pediatric Respiratory | SMLE Q#14593

SMLE Question #14593

Pediatrics Pediatric Respiratory

Objective: OBJ-273

Last updated: February 2026
A 1-week-old male has had noisy breathing since birth with high-pitched inspiratory stridor that is worse when supine and improves when prone or upright. Parents report brief apnea episodes and difficulty feeding. His weight is below the 3rd percentile for age. Examination shows suprasternal retractions during feeding and mild nasal flaring. What is the most appropriate next step in management?

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