A 2­year­old Child Is Brought to the Clinic After Developing

question 16

Multiple Choice

A 2­year­old child is brought to the clinic after developing a hoarse, bark­like
cough during the night with "trouble catching his breath" according to the parent. The history reveals a 2 day history of low­grade fever and upper respiratory symptoms. On exam, the child has a respiratory rate of 40 breaths per minute, occasional stridor when crying, and a temperature of 101.3°F. What is the next step in treatment for this child?

• A) Administer intramuscular dexamethasone.
• B) Admit the child for inpatient hospitalization.
• C) Give the child a racemic epinephrine treatment in the office.
• D) Prescribe oral dexamethasone for 2 days.

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Definitions:

Normandy

A region in northwestern France, known for its historical significance, including the D-Day landings during World War II.

Vichy Government

The Vichy Government refers to the regime led by Marshal Philippe Pétain during World War II, which collaborated with Nazi Germany following France's defeat in 1940.

Collaborate

To work jointly with others on a project or activity, often producing something or achieving a common goal.

Free French Forces

were French volunteers in World War II who fought against German occupation and Vichy France, under the leadership of General Charles de Gaulle.