A 5-month-old has cough, rhinorrhea, and wheeze for two days. Oxygen saturation is 96% on room air, feeding is adequate, and there are only mild

Question

A 5-month-old has cough, rhinorrhea, and wheeze for two days. Oxygen saturation is 96% on room air, feeding is adequate, and there are only mild retractions. What is the best next step?

Accepted Answer

Provide supportive care with hydration advice and clear return precautions

Answer

Start oral antibiotics for suspected bacterial lower-respiratory infection

Answer

Obtain chest radiography before discharge to assess for pneumonia

Answer

Provide inhaled corticosteroid therapy for persistent recurrent wheezing symptoms

Answer

Give scheduled albuterol while monitoring respiratory effort and feeding

Bronchiolitis — USMLE Step 3 MCQ

A 5-month-old has cough, rhinorrhea, and wheeze for two days. Oxygen saturation is 96% on room air, feeding is adequate, and there are only mild retractions. What is the best next step?