Revised June 2011
American College of Emergency Physicians Section of Pediatric Emergency Medicine
Peter S. Auerbach, MD, FACEP
The Children's Hospital at Legacy Emanuel Medical Center, Portland, OR
2.All of the following are consistent with the diagnosis of bacterial tracheitis EXCEPT:
4. Which of the following is the most likely diagnosis in a 2-month-old infant with a 10 day history of mild cough, who is in no distress in the ED and has a normal physical examination:
In the absence of other concerning associated signs, APNEA is defined as a respiratory pause of greater than:
Of the following causes of upper airway obstruction, which is LEAST likely to result in an acute, precipitous deterioration in the ED?
Which of the following is the LEAST LIKELY cause of stridor in an infant or child < 6 years old?
Which of the following is NOT independently associated with the need for admission in the context of an asthma exacerbation?
TRUE or FALSE: The administration of beta-agonists via MDI with a spacer has been shown to be as effective as the use of a nebulizer for the reversal of acute bronchospasm in all age groups (infants, children and adults).
11. All of the following are currently considered standard treatments for bronchiolitis EXCEPT:
b. Trial of albuterol (via MDI or nebulized
d. Steroids (oral, IV or IM)
e. Supplemental oxygen as needed
12. Compared with the adult airway, which of the following is NOT characteristic of the pediatric airway:
14. RSV testing would be LEAST helpful in the management of which of the following patients:
15. All of the following support a clinical diagnosis of pertussis EXCEPT:
16. The most common CXR finding in infants with bronchiolitis is:
17. TRUE or FALSE: Antibiotics given for "Whooping Cough" (pertussis) shorten the course of symptoms.
18. All of the following statements are true of croup (viral laryngotracheobronchitis) EXCEPT:
19.Regarding pneumonia in the neonate, all of the following are TRUE EXCEPT:
20. Which of the following is the most likely cause of pneumonia in a generally well-appearing 8-year-old with a gradually progressive cough over two weeks and bilateral crackles on lung exam?
21. All of the following are true of croup EXCEPT:
BONUS: A 3-week-old infant with several days of mild diarrhea and decreased oral intake presents with severe tachypnea, cyanosis and lethargy. The initial oxygen saturation is 87%, breath sounds are clear throughout and the cardiac exam is normal. Peripheral perfusion is poor (CR > 4 sec.) and the administration of 100% oxygen by face mask results in a saturation of only 94%. A portable CXR is normal. Of the following tests, which is MOST likely to reveal a diagnosis?
Copyright 2004 American College of Emergency Physicians. Pediatric Emergency Medicine Section quizzes may be reproduced for educational purposes only. To obtain permission to reprint for any other purpose, please submit your written request to: Deputy Executive Director, American College of Emergency Physicians, PO Box 619911, Dallas, TX 75261.