Children's respiratory illnesses

doi:10.1136/bmj.b4250

Published 21 October 2009, doi:10.1136/bmj.b4250
Cite this as: BMJ 2009;339:b4250

Endgames

OnExamination Quiz

Children’s respiratory illnesses

The answers to this question, and more questions on this topic,are available from www.onexamination.com/endgames until midnighton Wednesday.

This week’s quiz is on children’s respiratory illnessesand is taken from the OnExamination revision questions for avariety of exams.

Presentation 1

A 6 year old girl with disabling cerebral palsy presents withrecurrentchest infections.

Presentation 2

A 2 year old girl presents acutely with a chest infection. Shehashad a few similar episodes in the past, which were treatedbyher general practitioner. You understand that there was aproblemwith severe constipation and meconium ileus after birth.

Presentation 3

A 4 year old girl presents with a troublesome nocturnal cough.Herparents state that otherwise she is well, except for a littleshortnessof breath when she runs around in the garden.

Presentation 4

A 5 year old presents with recurrent lower respiratory tractinfections.He has had four courses of antibiotics in the pastyear. Yousend a note to the radiologist because the chest radiographseemsto have been mislabelled as the heart shadow is on theright.There is bilateral lower lobe consolidation.

For each of the above presentations select the most likely diagnosisfrom the list below.

A Asthma

B Chronic lung disease of prematurity

C Congenitallobar emphysema

D Cystic fibrosis

E Drug misuse

F Hypogammaglobulinaemia

GKartagener’s syndrome

H Primary ciliary dyskinesia

IRecurrent aspiration

J Respiratory failure secondary to nerveinjury

K Whooping cough