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Moderate viral bronchiolitis — RCPSC EM MCQ

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EasyPaediatric emergenciesModerate viral bronchiolitisRCPSC EM

CTAS 3: A 7-month-old infant has 3 days of cough, rhinorrhoea and wheeze. Vitals are T 37.8°C, HR 142, RR 42, SpO2 94% awake. Feeding is slightly reduced but wet diapers are present. Exam shows mild indrawing and diffuse crackles without apnoea. What is the most appropriate disposition?

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

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Correct answer: A — Discharge with feeding advice, nasal suctioning and return precautions

Typical bronchiolitis is usually managed supportively. Adequate oxygenation, hydration and mild work of breathing support safe discharge with clear safety-netting.

Reference: Canadian Paediatric Society bronchiolitis statement; Choosing Wisely Canada