Pediatrics: Pneumonia and Asthma Management

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Questions and Answers

What is the most likely diagnosis?

  • Acute bronchiolitis (correct)
  • Chlamydia infection
  • Congestive heart failure
  • Gastro-esophageal reflux disease
  • Upper respiratory tract infection

The antibiotic of choice in this case is:

  • Penicillin
  • Cloxacillin
  • Amoxicillin and clavulanic acid (correct)
  • Ceftriaxone
  • Macrolides

The following are the first line of management in severe asthma in casualty EXCEPT:

  • Respiratory rate
  • Arterial oxygen saturation
  • Pulse rate
  • Peak flow meter
  • Skin-prick testing for common allergens (correct)

One year old boy has acute otitis media which of the following is INCORRECT?

<p>Acute otitis media most common at 6-12 months of age (E)</p> Signup and view all the answers

The most common causative organism of pneumonia in 8 years old child is:

<p>Streptococcal pneumonia (B)</p> Signup and view all the answers

The long term management of Bronchial Asthma, the following are recommended EXCEPT:

<p>Use of cough remedies (C)</p> Signup and view all the answers

In management of Acute severe Bronchial asthma, the following is incorrect:

<p>IV Aminophylline considered as first line of therapy (A)</p> Signup and view all the answers

Regarding pneumonia in childhood the following statements are correct except:

<p>Increase respiratory rate is the best clinical sign of pneumonia in children (D)</p> Signup and view all the answers

Flashcards

What is the most common causative organism for pneumonia in 8-year-old children?

Haemophilus influenzae is a common bacterium that causes respiratory infections in children, particularly those under 5 years old. It can lead to pneumonia, bronchitis, and ear infections.

What is NOT a long-term management strategy for bronchial asthma?

Cough remedies are not a long-term management strategy for asthma. They may provide temporary relief, but they do not address the underlying cause of the condition.

What is INCORRECT about managing acute severe asthma?

IV Aminophylline is not typically considered the first-line treatment for acute severe asthma. It can be used in certain cases, but there are more effective and preferred medications.

What is an INCORRECT statement about pneumonia in childhood?

Increased respiratory rate is a common sign of pneumonia in children, but it's not always the most reliable. Other factors like oxygen saturation and chest x-ray findings are also important.

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What is the most likely diagnosis for Omer, a 2-month-old infant with cough, difficulty breathing, and other respiratory symptoms?

Acute bronchiolitis is an inflammation of the small airways in the lungs, commonly caused by viruses like RSV. It's a frequent cause of respiratory distress in infants.

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What is the antibiotic of choice for Omer's condition?

Amoxicillin and clavulanic acid, a combination antibiotic, is often the preferred choice for treating bacterial infections like those associated with bronchiolitis.

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What is NOT part of first-line management for severe asthma in the emergency room?

Skin-prick testing is not part of the initial management for severe asthma in the emergency room. It's more relevant for long-term asthma management to identify specific allergens.

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What is an INCORRECT statement about acute otitis media in a one-year-old boy?

Acute otitis media can be caused by viruses like rhinovirus. This is not a rare occurrence.

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What is NOT usually the investigation of choice for a patient with respiratory symptoms?

CT scan of the chest can be helpful for detailed imaging of the chest and lungs, but it's not the first-line investigation for every suspected respiratory issue.

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What is the most common cause of persistent stridor in infants?

Laryngomalacia is the most frequent cause of persistent stridor (a high-pitched breathing sound) in infants. It's a condition where the soft tissues in the larynx are floppy.

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What is an INCORRECT statement about acute otitis media in children?

Acute otitis media can be diagnosed by examining the tympanic membrane. This is essential for determining the presence and severity of the infection.

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What is an INCORRECT statement about childhood asthma?

Childhood asthma is not always characterized by cough, wheeze, and breathlessness. Some children may experience only a cough or other symptoms.

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What feature is inconsistent with a diagnosis of asthma?

Clubbing of fingers is a sign of chronic oxygen deprivation, not typically associated with asthma. It's more common in conditions like lung disease.

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What STATEMENT about pneumonia in children is TRUE?

Lobar consolidation, an area of increased density on a chest x-ray, is a common feature of pneumococcal pneumonia, a type of bacterial pneumonia.

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What statement is INCORRECT about cystic fibrosis in children?

Failure to thrive is a symptom of cystic fibrosis, a condition affecting the lungs, pancreas, and other organs. It's caused by difficulty absorbing nutrients.

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What is the most likely diagnosis for Hashim, a 3-year-old who suddenly developed respiratory distress after choking and coughing while playing?

Foreign body aspiration occurs when a foreign object is inhaled into the lungs, causing respiratory distress. It's a serious condition that requires immediate medical attention.

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Study Notes

Question 13

  • The most common causative organism of pneumonia in 8 years old children is Streptococcus Pneumonia

Question 14

  • Long-term management of Bronchial Asthma includes:
    • Patient education
    • Avoidance of trigger factors
    • Inhaled corticosteroids
    • Use of cough remedies
    • Use of Antileukotrienes

Question 15

  • In management of Acute Severe Bronchial Asthma, the following is incorrect:
    • IV Magnesium sulphate in selected cases

Question 16

  • Regarding pneumonia in childhood, the following statements are correct EXCEPT:
    • In children older than 5 years Erythromycin is not among the antibiotics of choice

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