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RSV bronchiolitis pathophysiology — USMLE Step 3 MCQ

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EasyPediatrics (well-child, chronic management)RSV bronchiolitis pathophysiologyUSMLE Step 3

A 4-month-old infant has cough, rhinorrhea, wheezing, and mild retractions during winter. Oxygen saturation is 95% on room air. A nasopharyngeal test is positive for respiratory syncytial virus. Which of the following is the most likely explanation for this patient's findings?

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Correct answer: ASmall-airway inflammation, edema, and mucus plugging

Bronchiolitis is caused by viral infection of small airways with inflammation, edema, and mucus plugging.

Reference: AAP bronchiolitis guideline