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Pediatrics · Respiratory: bronchiolitis
Sample itemA 6-month-old has coryza followed by wheeze, crackles, increased work of breathing, and poor feeding in winter. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Bronchiolitis
Bronchiolitis is a viral lower respiratory tract infection in infants, often causing coryza, wheeze or crackles, tachypnea, and feeding difficulty. Treatment is usually supportive, with escalation for hypoxia or exhaustion.
Option by option
A. Bacterial meningitis
Meningitis causes neurologic and systemic features rather than this respiratory syndrome.
B. Croup
Croup causes barking cough and stridor.
C. Bronchiolitis (correct)
Correct. The age and viral prodrome with lower-airway signs are typical.
D. Foreign-body aspiration
Foreign-body aspiration often has abrupt onset without coryzal prodrome.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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