MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 10-month-old infant was seen in the Emergency Department for respiratory distress is admitted to the pediatric unit with a diagnosis of bronchiolitis. Which of these if assessed, alerts the healthcare provider the bronchiolitis is worsening?
A
Head bobbing
B
Inspiratory stridor
C
Drooling
D
Pleurtic chest pain
Explanation: 

Detailed explanation-1: -Bronchiolitis is a mild, self-limited infection in the majority of children but may sometimes progress to respiratory failure in infants. The management of bronchiolitis is supportive hydration and oxygen. No specific medications treat the infection.

Detailed explanation-2: -Oxygen. Supplemental oxygen therapy is a mainstay of treatment in hospital. Oxygen should be administered if saturations fall below 90% and used to maintain saturations at ≥90%.

Detailed explanation-3: -Relieving symptoms-There is no treatment that can get rid of bronchiolitis, so treatment is aimed at relieving symptoms until the infection resolves. Treatment at home usually includes making sure the child drinks enough and using saline nose drops (or bulb suctioning for infants) to keep the nose clear.

Detailed explanation-4: -Physical examination findings of importance include increased respiratory rate, signs of respiratory distress, and crackles and wheezing on auscultation. Measurement of oxygen saturation often shows decreased saturation levels.

There is 1 question to complete.