Pediatrics Board Exam Started: Jul 13, 2026 10:11 Page 16 of 69 Attempt #2588 Overall: 0 / 344 questions answered Question 76 / 344 Not answered During an emergency department assessment: A 4-year-old has wheeze, chest indrawing, and oxygen saturation 89%. What is the priority? A. Oral antihistamine only B. Discharge immediately C. Long-acting beta agonist alone D. No treatment until spirometry E. Oxygen and inhaled short-acting bronchodilator, with urgent assessment Show Answer & Explanation Correct Answer: E 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 77 / 344 Not answered During an emergency department assessment: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1361) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A Explanation: [Pediatrics] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. 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 78 / 344 Not answered During an emergency department assessment: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 1362) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B Explanation: [Pediatrics] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 79 / 344 Not answered During an emergency department assessment: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1363) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Life-threatening asthma requiring urgent escalation D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: C Explanation: [Pediatrics] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 80 / 344 Not answered During an emergency department assessment: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 1364) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Treat hypoglycemia immediately and reassess neurologic deficit E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: D Explanation: [Pediatrics] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke 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 Cancel « ← Previous Page 16 of 69 Next → »