**Core Concept**
The question is testing the ability to identify the leading cause of laryngotracheobronchitis, also known as croup, a common respiratory illness in children. Laryngotracheobronchitis is characterized by inflammation of the larynx, trachea, and bronchi, leading to a distinctive barking cough and hoarseness.
**Why the Correct Answer is Right**
The correct answer is **C. Parainfluenza virus**. Parainfluenza viruses are the leading cause of croup in children, particularly types 1 and 2. These viruses infect the epithelial cells of the respiratory tract, leading to inflammation and edema of the larynx, trachea, and bronchi. The resulting barking cough and hoarseness are classic symptoms of croup. The virus triggers an immune response, which causes the release of pro-inflammatory cytokines, leading to the symptoms associated with croup.
**Why Each Wrong Option is Incorrect**
**Option A:** Adenovirus can cause respiratory illness in children, but it is not the leading cause of croup.
**Option B:** Respiratory syncytial virus (RSV) is a common cause of bronchiolitis in young children, but it is not typically associated with croup.
**Option D:** Influenza virus can cause respiratory illness in children, but it is not the leading cause of croup.
**Clinical Pearl / High-Yield Fact**
The barking cough of croup is often described as a "seal-like" or "baying" sound, which is a characteristic feature of this illness. This distinctive cough is often heard when the child inhales or coughs.
**Correct Answer: C. Parainfluenza virus**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.