Bronchiolitis Flashcards
Which of the following are cardinal symptoms of a respiratory disease?
A. Cough and tachypnea B. Cough and dyspnea C. Cough and chest pain D. Cough and wheezing E. Any of the options
B. Cough and dyspnea
Which of the following is characterized by a high pitched expiratory noise?
A. Stertor B. Stridor C. Wheezing D. Rhonchi E. Crackles
C. Wheezing
▪ Stertor – obstruction above the larynx; low frequency inspiratory noise
▪ Stridor – obstruction in the larynx or lower in the bronchial tree; high frequency noise; inspiratory, expiratory, or biphasic
▪ Wheezing – obstruction in the medium and small airways; musical sound; high pitched expiratory noise
A 21 yr old physician has diagnosed her patient with asthma. Which of the following abnormal breath sounds did she hear?
A. Crackles B. Wheezes C. Stridor D. Two of the options E. All of the options
E. All of the options
All of the following can be cause of wheezing in infancy EXCEPT:
A. Viral infection B. Asthma C. Airway abnormalities D. Aspiration syndromes E. None of the options
E. None of the options
All of the following is/are TRUE about bronchiolitis EXCEPT:
A. More common to males
B. LBW and immunodeficiency are risk factors
C. Rhinovirus accounts for more than 50% of the cases
D. Two of the options
E. None of the options
C. Rhinovirus accounts for more than 50% of the cases
Which of the following pathological findings is/are accurate with acute viral bronchiolitis?
A. Intense neutrophilic and mononuclear infiltration
B. Necrosis of bronchiolar epithelium
C. Submucosal and peribronchiolar fibrosis
D. Two of the options
E. None of the options
E. None of the options
Which of the following manifestations first appears on a patient with bronchiolitis?
A. Clear rhinorrhea B. Fever C. Wheezes D. Tachypnea E. Dyspnea
A. Clear rhinorrhea
Which of the following is/are TRUE about prognosis of bronchiolitis?
A. Self-limited B. Resolves within 7 to 10 days C. Significant morbidity and low mortality D. Development of asthma may occur E. Two of the options F. All of the options
F. All of the options
All of the following is/are TRUE about pathophysiology of bronchiolitis EXCEPT:
A. Virus enters the epithelial cells of bronchi
B. Inflammation may result to edema, mucus secretion, and epithelium sloughing
C. Obstruction of small airways
D. Two of the options
E. None of the options
A. Virus enters the epithelial cells of bronchi
A 21 yr old physician has diagnosed her 2mo patient as tachypneic. Which of the following accurately describes her findings?
A. RR ≥ 40 B. RR ≥ 50 C. RR ≥ 60 D. RR ≥ 80 E. None of the options
C. RR ≥ 60
0-2 mo: ≥60
2-12 mo: ≥50
1-5 yo: ≥40
A 21 yr old physician has diagnosed her 10mo patient with bronchiolitis obliterans. Which of the following is the most possible causative agent of this disease?
A. Rhinovirus B. RSV C. Adenovirus D. Influenza virus E. Parainfluenza virus
C. Adenovirus
All of the following is/are criteria in diagnosing bronchiolitis EXCEPT:
A. Tachypneic B. Age 11mo C. Alar flaring D. Immunodeficient E. Two of the options F. None of the options
D. Immunodeficient
A 10 mo is having a respiratory distress. His parents are worried that something worse might happen to their baby. However, as a clinician, which of the following should you consider before admitting the patient?
A. RR > 70/min B. Dehydration C. Age of 10mo D. Two of the options E. All of the options
D. Two of the options
A 21 yr old physician has diagnosed his patient with bronchiolitis. Which of the following is/are TRUE based on 2021 AAP guidelines on bronchiolitis?
A. Diagnosis must be made clinically B. Salbutamol is an option C. Epinephrine nebulization is an option D. Hypertonic saline should not be used in the ER E. Two of the options F. All of the options
E. Two of the options
A 21 yr old physician uses WARM respiratory scoring tool to help in her assessment of the 8mo patient. Her findings include end expiratory wheezing, normal air exchange, RR of 50, and subcostal retractions. Based on the tool, how many points do the results indicate?
A. 1 B. 2 C. 3 D. 4 E. 5
B. 2
