Have a crack at three paediatric patients with respiratory concerns. Good luck!
Reviewed by: awaiting review
child resp 1
Stem 1 of 6
A 7 year old child is brought to his GP with a history - a week prior - of mild runny nose and dry cough. His mother has come due to a recent (three day) start of severe coughing fits. She describes the fits as “getting worse and worse before he is fighting for breath”. You do not witness an episode.
What is the best-matched cause of the most likely diagnosis?
Stem 2 of 6Who is eligible for a vaccine against this diagnosis?
All Adult females
All Adult males
There is no vaccine currently
Stem 3 of 6Which approaches can be used for diagnosis?
Nasopharyngeal swab to culture
Nasopharyngeal swab for PCR
Full blood count
Urea and creatinine
Stem 4 of 6Which class of antibiotics should be prescribed for this patient first-line?
Stem 5 of 6The patient is a 7 year old male weighing 28kg and is 1.3 metres tall. Calculate the patient’s BMI.
Stem 6 of 6Based on the above criteria, what is the correct dosing regimen for the patient?
300 mg once daily for 3 days.
300 mg once daily for 5 days.
300 mg twice daily for 3 days.
300 mg twice daily for 5 days.
500mg once daily for 2 days.
Stem 1 of 6
A 12 year-old male presents to ED with a stridor secondary to a week of a sore throat. He is sitting in the tripod position and has a high objective fever. He is visibly drooling.
What is the classic cause of this presentation?
Haemophilus influenza A
Haemophilus influenza B
Haemophilus influenza C
Stem 2 of 6What is the best matched differential?
Community acquired pneumonia
Stem 3 of 6The “thumbprint” sign is characteristic of this condition. In which modality can this be visualised?
Anteroposterior radiograph cervical
Lateral radiograph cervical
Stem 4 of 6The patient remains on the hospital trolley in triage. What is the next-best step?
Call paediatrics, anaesthetics and intubate
Call paediatrics, anaesthetics and monitor airway
Call paediatrics, anaesthetics and perform tracheostomy
Call paediatrics, anaesthetics and transfer to ICU
Administer IV ceftriaxone and dexamethasone
Stem 5 of 6The patient requires which combination of adjunct therapy once the airway is stabilised? Select two of the list below.
Antibiotic and antiviral
Antibiotic and steroid
Antibiotic combo therapy
Antiviral and steroid
Dual steroid therapy
Stem 6 of 6Which antibiotic is the most appropriate first-line antibiotic of choice?