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Bronchiolitis — USMLE Step 2 CK MCQ

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EasyPediatricsBronchiolitisUSMLE Step 2 CK

A 6-month-old with RSV bronchiolitis has mild retractions and SpO2 88% on room air; no signs of bacterial infection. What is the most appropriate management?

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Correct answer: D — Supportive care with nasal suction and supplemental oxygen to maintain SpO2 at least 90%

Supportive care is standard; oxygen is given to maintain saturations at or above about 90%. Routine bronchodilators (A) and systemic steroids (B) are not recommended. Empiric antibiotics (C) are not indicated. Targeting near-normal saturations (E) is unnecessary and may prolong hospitalization.

Reference: AAP Clinical Practice Guideline (2014): Diagnosis and Management of Bronchiolitis