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Bronchiolitis — MRCGP AKT MCQ

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HardPaediatricsBronchiolitisMRCGP AKTMRCEM SBAUKMLAPARA

A 7-month-old with bronchiolitis is taking about 40% of usual feeds, has dry mucosa and persistent recession. Oxygen saturation is 94% in air. What is the best management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Refer for hospital assessment of feeding and hydration

The best answer is “Refer for hospital assessment of feeding and hydration”. Inadequate oral intake, clinical dehydration and persistent respiratory distress are referral or admission considerations independent of oxygen saturation. Bronchiolitis management is supportive, with feeding or fluid assistance and oxygen when threshold criteria are met.

Reference: NICE NG9: Bronchiolitis in children: https://www.nice.org.uk/guidance/ng9/chapter/Recommendations