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Mild bronchiolitis — ABEM Board MCQ

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EasyPediatric emergenciesMild bronchiolitisABEM Board

A 9-month-old boy arrives as ESI 3 with cough, wheeze, and rhinorrhea. RR 48, SpO2 93%, mild retractions, and he is feeding adequately. He was born at term and appears hydrated. Which of the following is the most appropriate next step in management?

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

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Correct answer: BProvide supportive care with nasal suction and hydration assessment

Typical mild bronchiolitis is managed supportively; routine bronchodilators, corticosteroids, antibiotics, and chest x-rays are not indicated.

Reference: AAP Bronchiolitis Clinical Practice Guideline