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Bronchiolitis — ACEM Fellowship MCQ

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ModerateRespiratory emergenciesBronchiolitisACEM Fellowship

A 3-month-old infant presents to a regional ED, triage category 2, with cough and poor feeding. RR 66, SpO2 90% on air, moderate recession and taking half normal feeds. Temperature is 37.8 C and there are widespread crackles and wheeze. What is the most appropriate disposition?

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

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Correct answer: B — Admit for oxygen and hydration support

Hypoxia, moderate work of breathing and poor feeding in a young infant justify admission for supportive oxygen and hydration.

Reference: RCH bronchiolitis guideline; ACEM paediatric respiratory curriculum