Your Name: Ying Chen    

Theme: RESPIRATORY PATH

 

OPTION LIST

 

A

Acute Epiglottitis

I

Cystic fibrosis

B

Acute life-threatening asthma attack

J

Foreign body inhalation

C

Acute mild/moderate asthma attack

K

Pneumonia

D

Acute otitis media

L

Pharyngitis

E

Acute severe asthma attack

M

Rhinitis

F

Bronchitis

N

Sinusitis

G

Brochiolitis

O

Viral croup

H

Chronic epiglottitis

P

Whooping cough

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.   A 12 year old boy known asthmatic boy presented to the A&E with sudden onset of severe dyspnoea and wheezing.  On examination, he was too breathless to talk and respiratory rate is 60/min.  There were intercostal and subcostal recessions and nasal flaring.  His peak flow when measured was 45% predicted value.

 

2. A 5 year old boy presented to his GP because the parents were concerned with his poor weight gain and recurrent chest infections.  His birthweight was at 25th centile but now is only at 4th centile.  Further birth history revealed that the baby failed to pass meconium in the first few days of life.  On examination, the child has hyperinflation of the chest and finger clubbing.

 

 

3. A 1 year old toddler was presented to his GP with a dry cough and increasing breathlessness.  In the history, parents revealed that the toddler has had a runny nose a few days ago, and he has been losing her appetite.  On examination, the findings were tachypnoea, subcostal and intercostals recession and fine crackers on auscultation. 

 

 

4. A 6 year old boy presented to the A&E with acute onset of painful throat and a high fever of 38.9 degrees.  He was unable to speak or to swallow and was drooling saliva.  The child was sitting immobile, upright and with an open mouth.

 

 

5. A 3 year old boy presented to his GP with recurrent coughing for the past 3 months.  On examination, there was dull percussion note on the right lower lobe and decreased air entry in the same area.  Chest x-ray shows consolidation at the right lower lobe area.

 

 

 

ANSWERS

1. E

2. I

3. G

4. A

5. K