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Bronchiolitis — RCPSC EM MCQ

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EasyPaediatric emergenciesBronchiolitisRCPSC EM

A 4-month-old infant presents in winter with cough, poor feeding, and increased work of breathing. Oxygen saturation is 89%, respiratory rate is 62/min, and auscultation reveals diffuse crackles and wheeze. Chest radiograph is not suggestive of bacterial pneumonia. What is the most appropriate initial management?

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Correct answer: E — Nasopharyngeal suction, oxygen, and hydration support

Bronchiolitis management is supportive: oxygen for hypoxaemia, nasal suction when obstructed, and hydration support. Routine bronchodilators, steroids, and antibiotics are not indicated.

Reference: Canadian Paediatric Society bronchiolitis guidance