CLIPP Exam with Questions and Answers

CLIPP Exam with Questions and Answers 12: A 12-year-old male presents to the ED with complaints of anorexia, weight loss, and persistent cough, with nocturnal coughing fits that have been waking him from sleep for the past three weeks. He denies fever, chills, myalgia, sore throat, or rhinorrhea. The patient presented to his primary care physician one week prior with the same complaint, and was treated with amoxicillin and bronchodilator therapy. His chest x-ray was negative for infiltrates at that visit. The patient's symptoms did not improve with this regimen. The cough became more frequent, sometimes causing emesis. Which of the following is the most likely diagnosis? A. Reactive Airway Disease B. Infection with Bordetella pertussis in catarrhal stage C. Infection with Bordetella pertussis in the paroxysmal stage D. Atypical pneumonia due to Mycoplasma pneumoniae E. Laryngotracehobronchitis ANSWER C. Infection with Bordetella pertussis in the paroxysmal stage 12: A 12-month-old previously healthy girl presents with cough and mild subcostal retractions. She is afebrile, and physical exam reveals asymmetric wheezing. Chest x-ray demonstrates unilateral air trapping. What is the most likely diagnosis? A. Croup B. Pneumonia C. Acute bronchiolitis D. Foreign body aspiration E. Asthma ANSWER D. Foreign body aspiration