Pediatric Respiratory Disorders
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Questions and Answers

What is the main cause of acute cough in infancy without respiratory distress?

  • Bronchial asthma
  • Pneumonia
  • Acute bronchiolitis
  • Sinusitis (correct)
  • Which of the following is a cause of chronic cough in infancy?

  • Pneumonia
  • Acute bronchiolitis
  • TB (correct)
  • Chronic bronchitis
  • What is a complication of bronchiectasis?

  • Chronic cough
  • Pneumonia
  • Widening of airways (correct)
  • Asthma
  • Which of the following is a cause of wheezing in infancy?

    <p>All of the above</p> Signup and view all the answers

    What is the typical presentation of acute bronchiolitis?

    <p>With respiratory distress</p> Signup and view all the answers

    Which of the following is a cause of respiratory distress in infancy?

    <p>Pneumonia</p> Signup and view all the answers

    What is the relation between sinusitis and cough in infancy?

    <p>Sinusitis is a cause of chronic cough</p> Signup and view all the answers

    What is the significance of vascular ring in the context of wheezing in infancy?

    <p>It is an anatomical abnormality</p> Signup and view all the answers

    What is the most common cause of acute cough in children?

    <p>Acute Bronchitis</p> Signup and view all the answers

    What is the typical course of illness for Acute Bronchitis?

    <p>2 weeks</p> Signup and view all the answers

    What is the best expectorant for treating Acute Bronchitis?

    <p>Warm fluids</p> Signup and view all the answers

    When are antibiotics prescribed for Acute Bronchitis?

    <p>Only for bacterial infections</p> Signup and view all the answers

    What is the most common cause of respiratory distress and wheezing in infancy?

    <p>Acute Bronchiolitis</p> Signup and view all the answers

    What is the typical age range for Acute Bronchiolitis?

    <p>First two years of life</p> Signup and view all the answers

    What is the respiratory rate for a baby hospitalized with Acute Bronchiolitis?

    <p>20 breaths/min</p> Signup and view all the answers

    What type of oxygen therapy is used to treat Acute Bronchiolitis?

    <p>Humidified oxygen</p> Signup and view all the answers

    What is the primary reason for administering IV fluids to a patient with respiratory distress?

    <p>To prevent dehydration</p> Signup and view all the answers

    What is the purpose of administering bronchodilators, such as albuterol or ipratropium, in the treatment of respiratory distress?

    <p>To achieve modest short-term improvement</p> Signup and view all the answers

    What is the primary indication for administering antiviral medications, such as ribavirin, in the treatment of respiratory distress?

    <p>In cases of congenital heart disease or chronic lung disease</p> Signup and view all the answers

    What is the main purpose of suctioning nasal and oral secretions in patients with respiratory distress?

    <p>To prevent aspiration</p> Signup and view all the answers

    What is the most common diagnostic test used to confirm pneumonia?

    <p>Chest X-ray</p> Signup and view all the answers

    What is the primary complication of bacterial pneumonia that can lead to respiratory failure?

    <p>Pleural effusion</p> Signup and view all the answers

    What is the indication for hospitalization in cases of respiratory distress?

    <p>In cases of small infants, severe distress, or presence of complications</p> Signup and view all the answers

    What is the primary complication of pneumonia that can lead to cardiac problems?

    <p>Toxic myocarditis</p> Signup and view all the answers

    Study Notes

    Causes of Cough in Infancy

    • Acute cough (2 months): without respiratory distress, caused by sinusitis, bronchitis, or laryngitis
    • Prolonged cough: caused by bronchial asthma, chronic bronchitis, or bronchiectasis
    • Chronic cough: caused by TB, immunodeficiency, recurrent aspiration, or GERD

    Causes of Wheezing in Infancy

    • Infections: RSV, para-influenza virus, TB, or immunodeficiency states
    • Anatomical abnormalities: e.g. Vascular Ring
    • Cystic fibrosis or GERD

    Lower Respiratory Tract Infections

    Acute Bronchitis

    • Most common cause of acute cough in children
    • Causes: viral or bacterial infections
    • Features: cough only, early: dry cough, -ve chest examination; productive: productive cough, +ve chest examination (rhonchi, moist crepitations)
    • Stages: productive, convalescent
    • Treatment: expectorants or mucolytics, warm fluids, cough suppressants, antibiotics (7 days oral amoxicillin in bacterial infection)

    Acute Bronchiolitis

    • Most common cause of respiratory distress & wheezing in infancy
    • Occurs in winter, during first two years of life (20 breaths/min.)
    • Treatment: oxygen therapy, IV fluid, bronchodilators, suction of nasal & oral secretions, antiviral, mechanical ventilation, steroids

    Pneumonia

    • Causes: bacterial, viral, TB, aspiration, etc.
    • Symptoms: fever, tachypnea, wheezing, cough, dyspnea & respiratory distress
    • Types: bronchopneumonia, lobar, interstitial
    • Diagnosis: chest X-ray, CBC, ESR, CRP, sputum & blood culture
    • Complications: respiratory failure, pleural effusion, lung abscess, heart failure

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    Description

    This quiz assesses knowledge of respiratory disorders in pediatric patients. It covers key concepts and clinical information for pediatricians and healthcare professionals.

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