Case 2

7. A classic history by these terrified parents would reveal? (ANSWER)

• a. High fever
• b. Conjunctivitis
• c. High fever and rhinorrhea
• d. Conjunctivitis and rhinorrhea

8. You do a complete physical examination and notice the child is tachypneic, and has mild tracheal tugging and intercostal retractions. What is the best treatment procedure that should be instituted now? (ANSWER)

Procedure A Procedure B Procedure C

• a. Procedure A
• b. Procedure B
• c. Procedure C

9. Your patient is now more tachypneic, with intermittent stridor, mild to moderate tracheal tugging, and nasal flaring, but has normal mentation. What is the best treatment procedure that should be instituted now? (ANSWER)

Procedure A Procedure B Procedure C

• a. Procedure A
• b. Procedure B
• c. Procedure C

10. The treatment you instituted in Question 9 worked and in less than 30 minutes your patient appears well and the parents are relieved. You should now: (ANSWER)

• a. Discharge the child home with good instructions and follow-up.
• b. Stop all treatment and watch the child for several hours and then discharge home with good instructions and follow-up.
• c. Continue cool mist humidification for several hours and then discharge home with good instructions and follow up.
• d. Discharge the child with the parents to continue the cool mist humidification at home.

11. During this patient encounter, you did not obtain an x-ray. If you had, you would expect what classic radiographic sign to be present? (ANSWER)

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