Bronchiolitis & RSV: ABFM practice questions

7 board-style questions on bronchiolitis & rsv in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 4-month-old infant presents in January with 3 days of rhinorrhea followed by worsening cough, tachypnea (respiratory rate 56), and diffuse wheezing with subcostal retractions. Oxygen saturation is 88% on room air. Chest X-ray shows hyperinflation with peribronchial thickening. What is the most appropriate management?

  1. Nebulized hypertonic saline and ribavirin
  2. Albuterol nebulizer and oral corticosteroids
  3. Supportive care with oxygen and nasal suctioning
  4. Intramuscular ceftriaxone and admission

Sample question 2

A mother brings her 2-month-old infant, born at 29 weeks gestation, for a well child visit in October. The infant has been doing well since NICU discharge. The mother asks about RSV prevention. The infant has no chronic lung disease or hemodynamically significant congenital heart disease. According to the AAP, which of the following is the most appropriate recommendation for RSV immunoprophylaxis?

  1. Administer nirsevimab (a long-acting monoclonal antibody) as a single dose before RSV season
  2. RSV prophylaxis is only indicated for infants with chronic lung disease
  3. Administer monthly palivizumab injections throughout RSV season
  4. RSV immunoprophylaxis is not indicated for any premature infants

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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