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Bronchiolitis — RCPSC EM MCQ

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EasyPaediatric emergenciesBronchiolitisRCPSC EM

A 4-month-old has cough, rhinorrhoea, and increased work of breathing. Oxygen saturation is 89% while asleep and improves to 92% with low-flow oxygen. Chest auscultation reveals wheeze and crackles; hydration is borderline. What is the most appropriate initial management?

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Correct answer: D — Supportive care with oxygen, nasal suction, and hydration support

Supportive care with oxygen, nasal suction, and hydration support is correct: the clues indicate Bronchiolitis and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian Paediatric Society bronchiolitis guidance