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A 5-Month-Old Infant Who Has a 3-Day History of Cough

Question 9

Multiple Choice

A 5-month-old infant who has a 3-day history of cough and rhinorrhea has developed symptoms of respiratory distress with audible expiratory wheezes and increased coughing. The infant's immunizations are up-to-date. The physical exam reveals a respiratory rate of 50 breaths per minute, coarse expiratory wheezing, and prolonged expiration. An oxygen saturation is 96% on room air. What is the recommended treatment for this infant?


A) Administer a trial of bronchodilators.
B) Obtain a viral culture of nasal washings.
C) Order an oral corticosteroid medication.
D) Recommend increased fluids and close follow-up.

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