Mehl. pulmo inf.:bronchiolitis, croup, epiglotitis 11-04 (1)

Question 1

Bronchiolitis. what age?

Answer 1

kid <18 months old

Question 2

Bronchiolitis. CP?

Answer 2

low grade fever + bilateral weezing

Question 3

kid <18 months old, low grade fever + bilateral weezing. Dx?

Answer 3

Bronchiolitis

Question 4

Bronchiolitis. Cause?

Answer 4

RSV

Question 5

Bronchiolitis. Tx?

Answer 5

supportive on usmle.

Do no choose answers like ribavirin or palivizumab

Question 6

Laryngotracheal bronchitis other name?

Answer 6

croup.

Question 7

Laryngotracheal bronchitis (croup). cause?

Answer 7

paramyxovirus (aka parainfluenza virus).

Question 8

paramyxovirus (aka parainfluenza virus). causes what?

Answer 8

Laryngotracheal bronchitis (croup).

Question 9

Laryngotracheal bronchitis (croup). CP?

Answer 9

hoarse, barking, or seal-like cough in school age kid.

Question 10

hoarse, barking, or seal-like cough in school age kid. Dx?

Answer 10

Laryngotracheal bronchitis (croup).

Question 11

The Q can say the cough gets better when his dad brings him out into the cold air. Dx?

Answer 11

Laryngotracheal bronchitis (croup).

Question 12

Laryngotracheal bronchitis (croup).
Neck x-ray shows?

Answer 12

Neck x-ray shows “steeple sign,” which is sub-glottic narrowing.

Question 13

Neck x-ray shows “steeple sign,” which is sub-glottic narrowing. Dx?

Answer 13

Laryngotracheal bronchitis (croup).

Question 14

Laryngotracheal bronchitis (croup).
Sometimes the Q can give you easy vignette of croup, but then the
answer is just “larynx” (literally inflammation of the larynx, trachea, and the bronchi).

Answer 14

.

Question 15

“Sub-glottic” means what?

Answer 15

“Sub-glottic” means below the area of the vocal cords.

Question 16

The larynx is the area encompassing ….?

Answer 16

The larynx is the area encompassing the vocal cords.

Question 17

Laryngotracheal bronchitis (croup).
Tx?

Answer 17

supportive

Question 18

Laryngotracheal bronchitis (croup). Tx if the force you to choose actual Tx?

Answer 18

nebulized racemic epinephrine is the answer.

Question 19

Epiglotitis, cause?

Answer 19

Haemophilis influenzae type B.

Question 20

Haemophilis influenzae type B. Dx?

Answer 20

Epiglotitis

Question 21

Epiglotitis. seen in what patients? 2

Answer 21

Seen in unvaccinated and immigrants (can be unvaccinated),

as well as patients with asplenia or sickle cell (auto-splenectomy).

Question 22

Epiglotitis. m/o can cause what systemic disease can occur?

Answer 22

meningitis

Question 23

Epiglotitis. Xray?

Answer 23

X-ray of neck shows “thumbprint sign.”

Question 24

Presents as child who has fever + difficulty breathing. They can say the
kid is drooling and/or in tripod positioning (facilitates use of accessory muscles). Dx?

Answer 24

Epiglotitis.

Question 25

Epiglotitis. Cp?

Answer 25

child who has fever + difficulty breathing.

They can say the
kid is drooling and/or in tripod positioning (facilitates use of accessory muscles).

Question 26

Epiglotitis. usmle wants what emergency treatment?

Answer 26

USMLE wants intubation as answer. Epiglottitis is a medical emergency
that can lead to sudden occlusion of the airway.

Question 27

Epiglotitis. Tx abs?

Answer 27

Tx = 3rd-gen cephalosporin (cefotaxime in peds, or ceftriaxone);

Question 28

Epiglotitis. Tx for close contacts?

Answer 28

give rifampin to close contacts.