Pediatrics Board Exam Started: Jul 13, 2026 13:35 Page 22 of 69 Attempt #2775 Overall: 0 / 344 questions answered Question 106 / 344 Not answered At a primary-care follow-up visit: A 4-year-old has wheeze, chest indrawing, and oxygen saturation 89%. What is the priority? A. Oral antihistamine only B. Discharge immediately C. Oxygen and inhaled short-acting bronchodilator, with urgent assessment D. Long-acting beta agonist alone E. No treatment until spirometry Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Hypoxic acute wheeze/asthma exacerbation needs oxygen, inhaled SABA, systemic steroid when indicated, and urgent reassessment. Reference: GINA Strategy Report; BTS/SIGN Asthma Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 107 / 344 Not answered At a preventive-care consultation: A 6-month-old has fever without source and is not fully immunized. What should guide management? A. Reassurance only without vitals B. Age, appearance, vaccination status, urinalysis, and sepsis risk assessment C. CT brain for all fever D. Antihistamine only E. Delay care until rash appears Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Fever in infants requires risk stratification by age, appearance, immunization, and targeted testing such as urine evaluation. Reference: AAP Febrile Infant Guideline; NICE Fever in Under 5s. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 108 / 344 Not answered In a ward handover scenario: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1392) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 109 / 344 Not answered During preoperative assessment: A 2-year-old has barking cough and stridor only when agitated, oxygen saturation 98%. What is the best treatment? A. Immediate intubation for all croup B. Antibiotics only C. Single dose dexamethasone D. No treatment ever E. Warfarin Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Mild croup benefits from corticosteroid; nebulized epinephrine is for moderate/severe distress or stridor at rest. Reference: Canadian Paediatric Society Croup Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 110 / 344 Not answered During preoperative assessment: A 6-month-old has fever without source and is not fully immunized. What should guide management? A. Reassurance only without vitals B. CT brain for all fever C. Antihistamine only D. Age, appearance, vaccination status, urinalysis, and sepsis risk assessment E. Delay care until rash appears Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Fever in infants requires risk stratification by age, appearance, immunization, and targeted testing such as urine evaluation. Reference: AAP Febrile Infant Guideline; NICE Fever in Under 5s. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 22 of 69 Next → »