Bronchiolitis in Infants: Board Questions

What this deck covers

Bronchiolitis in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Snuffly for three days, then breathless
2. What to send before the round
3. Which of the four to keep in
4. Which drug to reach for
5. How low before he needs oxygen
6. He cannot finish a feed
7. When the prongs are not enough
8. Blue for fifteen seconds, fine now
9. Which baby worries you most
10. Who gets the winter injection
11. Better, then suddenly worse
12. A fit on the fourth day
13. What to tell them at the door
14. Ready to go home or not
15. Sweaty feeds and a big liver
16. Coughing fits, well in between
17. Noisy with every cold since
18. Eleven babies in one week

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Bronchiolitis, Supportive care only, Expressed milk by nasogastric tube, High-flow humidified oxygen through nasal cannulae, The pause in breathing with colour change, Start antibiotics and obtain a chest radiograph, Heart failure from a left-to-right shunt, Pertussis.

Clinical pearls from this deck

• Listen for crackles, not wheeze. The wheeze comes and goes; the crackles make the diagnosis.
• The radiograph is not neutral. Ordering it is how these babies end up on antibiotics.
• Ask how much milk went in. It sorts these babies faster than any examination finding.
• The hardest part of managing this is not treating it. Every drug has been tried and has failed.
• Two illnesses, two thresholds. Carrying the asthma number across leads to needless oxygen.
• Reach for the tube before the cannula. It works as well and it goes wrong less often.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Respiratory Board Questions case decks · pediatric reference values.