#april2020mccqe1
A 4-year-old boy with a past history of asthma presents with a severe attack of asthma following an upper respiratory infection. On examination he is afebrile, appears distressed with a respiratory rate of 48/min, and pulse rate of 130/min. Oximetry is 85% while breathing room air. Which one of the following is the most appropriate initial management?
(A) Give a salbutamol inhalation and recommend four hourly salbutamol inhalations at home, and review in 24 hours
(B) Commence four hourly salbutamol and ipratropium inhalations and oral prednisolone, and review in 24 hours
(C) Commence four hourly salbutamol inhalations and oral amoxycillin, and review in 24 hours
(D) Refer for admission to hospital for salbutamol and ipratropium inhalations
(E) Give oxygen and continues salbutamol inhalations and transfer to hospital by ambulance
A 4-year-old boy with a past history of asthma presents with a severe attack of asthma following an upper respiratory infection. On examination he is afebrile, appears distressed with a respiratory rate of 48/min, and pulse rate of 130/min. Oximetry is 85% while breathing room air. Which one of the following is the most appropriate initial management?
(A) Give a salbutamol inhalation and recommend four hourly salbutamol inhalations at home, and review in 24 hours
(B) Commence four hourly salbutamol and ipratropium inhalations and oral prednisolone, and review in 24 hours
(C) Commence four hourly salbutamol inhalations and oral amoxycillin, and review in 24 hours
(D) Refer for admission to hospital for salbutamol and ipratropium inhalations
(E) Give oxygen and continues salbutamol inhalations and transfer to hospital by ambulance
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