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Respiratory Peds Rosh Practice Questions and Answers (100% Pass)
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Respiratory Peds Rosh Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMRespiratory Peds Rosh Practice Questions and
Answers (100% Pass)
A 4-month-old girl presents with two weeks of cough that includes severe coughing episodes
with associated cyanosis, respiratory distress, and post-tussive emesis. Her mother and father
both have upper respiratory infections. Which of the following is the treatment of choice?
Amoxicillin
Azithromycin
Nebulized albuterol
Reassurance - ✔️✔️Azithromycin
This child has symptoms of pertussis or whooping cough
Azithromycin is a macrolide antibiotic and is considered first-line therapy for the treatment of
pertussis
An 18-month-old girl presents to the office with a two-week history of sneezing, rhinorrhea, and
a low-grade fever. A few days ago, she developed a cough, which has become progressively
worse. Last night, her mother reports that her daughter had multiple instances of intense
coughing that lasted several minutes. After each episode, the child seemed to have difficulty with
inspiration, producing a very loud, high-pitched "wheeze." Which of the following antibiotics is
the preferred therapy for the suspected condition?
Cephalosporins
Fluoroquinolones
Macrolides
Penicillins - ✔️✔️Macrolides
This child has symptoms of pertussis or whooping cough
1
, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
A 4-month-old infant presents with three days of cough and nasal congestion. Today, the parents
note that he has been breathing faster and harder. On examination, he is tachypneic with
moderate subcostal retractions and nasal flaring. He has diffuse crackles and scattered expiratory
wheezes. What is the most likely diagnosis?
Bronchiolitis
Community-acquired pneumonia
Foreign body aspiration
Status asthmaticus - ✔️✔️Bronchiolitis
A 6-week-old term girl presents to the ED on a winter evening with a three-day history of
increased nasal congestion, difficulty sleeping, and difficulty breathing. She has slightly
decreased oral intake but is still producing plenty of wet and soiled diapers. She has no
significant medical history, but she has two older siblings who have also had a mild cold in the
last week. Her vital signs on admission are: T 38.3, HR 128, RR 67, BP 90/51, and her oxygen
saturation on room air is 90%. On exam, the infant is fussy but consolable, and in mild
respiratory distress with moderate intercostal retractions. On auscultation, decreased air
movement with coarse rales are audible bilaterally, but no wheezing is noted. Which of the
following is the most appropriate next step in management?
Airway suctioning and supplemental oxygen
Albuterol breathing treatment
Chest X-ray
Intravenous methylprednisolone 1 mg/kg - ✔️✔️Airway suctioning and supplemental oxygen
An 8-month-old boy is brought in by his mother for low-grade fever, wheezing, and mild cough.
He is otherwise healthy without any underlying pulmonary or cardiac disease. His older brother
was recently diagnosed with respiratory syncytial virus infection. Which of the following
practices can help prevent the development of severe disease in this patient?
Administration of bronchodilators
Breastfeeding
Monthly palivizumab administration during the winter
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