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Infant bronchiolitis — DipIMC MCQ

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EasyPaediatric and Obstetric EmergenciesInfant bronchiolitisDipIMC

A 4-month-old with bronchiolitis has poor feeding, grunting and recurrent apnoeic pauses. SpO2 is 89% on air and the baby is tiring. What is the most appropriate management?

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

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Correct answer: AGive oxygen and arrange urgent paediatric assessment

Option A is correct because Apnoea, hypoxia and poor feeding in bronchiolitis are high-risk features requiring urgent hospital care. Option E is less appropriate because the clinical risk exceeds that destination or timeframe; option B is less appropriate because pre-alert is needed to mobilise the correct receiving team. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because unmonitored private transport is unsafe for this risk profile. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines