One question of bronchiolitis. Child has runny nose and cough. worsening cough.

No
expiratory or inspiratory crackels, generalised wheez. What is next appropriate?

Nasopharyngeal aspirate
O2 saturation
Chest xray

characteristic clinical exam finding in acute bronchiolitis?

a. fever
b. expiratory wheeze
 c. inspiratory fine crackles

Cindy's breathing is obviously laboured and there is rib retraction. You diagnose bronchiolitis. Which
of the following statements is CORRECT?

a) Parenteral penicillin is the treatment of choice

 b) Chest Xray may show hyperinflation

c) Parainfluenza virus is the most common pathogen

d) Corticosteroids are contraindicated

 e) Inpatient treatment is often necessary

One case of bronchiolitis, 4 months old child, child has high temperature but rest all finding was
normal , oxygen saturation 96%

what the management:

1: admit for oxygen

 2: give treatment now and follow up in 24hours

A 10-month-old girl presents to ED with a two week history of coryza symptoms, and her mother has
become worried as she seems to be struggling for breath and wheezy. On examination, the infant
looks well but there are some intercostal and subcostal recessions, a respiratory rate of 35 and a
widespread expiratory wheeze on auscultation. You suspect she has bronchiolitis. Which of these
management options would not be considered appropriate infants with bronchiolitis?

 Bronchodilators
 b) Palivizumab

c) Oxygen

d) Nasogastric feeds

 e) Nebulised adrenaline
Child with severe respiratory distress. Scenario of bronchiolitis. What is the next investigation?

Blood gases

Blood culture

 CXR

9 month kid, presents with tachypnea and grunting and intercostal recession, on examination chest
is clear, what is your dx?

A.Croup

B.Pneumococcal Pneumonia

 C.RSV bronchiolitis

Risk factors for bronchiolitis include...

a. Obesity

 b. Infants <6 months

c. Passive smoking

d. Only child

6 month old bronchiolitis scenario. What is most appropriate initial investigation? (A) ABGs

(B) Blood culture

(C) Blood glucose

(D) CXR

(E) Nasopharyngeal aspirate

4mo old child, bronchiolitis scenario, O2 96%, not dehydrated. MX?

admit for oxygen therapy,

 supportive care and review in 24hrs,

nebulized adrenaline,

steroids
9month old boy with complain of fever 39, cough, tracheal tug, intercoastal recessions and lethargy
came to ED. You gave Iv fluids and oxygen.

A) pneumococal pneumonia

B) croup

 C) bronchiolitis

D) anemia

9 month old kid is brought to you with 3 days hx of fever 39 C,now fever is 39.2 C…O/E he is
grunting,chest is clear.he is started on iv fluids and oxygen.what is your diagnosis.

a.bronchiolitis

b.pneumococcal pneumonia