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Review Question - QID 102586

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QID 102586 (Type "102586" in App Search)
A 6-month-old male presents for a routine visit to his pediatrician. Two months ago, the patient was seen for tachypnea and wheezing, and diagnosed with severe respiratory syncytial virus (RSV) bronchiolitis. After admission to the hospital and supportive care, the patient recovered and currently is not experiencing any trouble breathing. Regarding the possibility of future reactive airway disease, which of the following statements is most accurate?

“Your child’s risk of asthma is the same as the general population.”

20%

20/99

“There is no clear relationship between RSV and the development of asthma.”

36%

36/99

“Your child has a less than 5% chance of developing asthma”

9%

9/99

“Your child has a greater than 20% chance of developing asthma”

32%

32/99

“Your child’s risk of asthma is less than the general population.”

1%

1/99

Select Answer to see Preferred Response

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Severe RSV bronchiolitis within the first year of life requiring hospitalization carries a significantly increased risk of developing asthma by the age of 7, with some estimates as high as 50%.

Bronchiolitis in children under two years of age is most commonly caused by RSV, and is seen most often in the fall and winter months. Inflammation of the smaller airways of the lower respiratory tract results in low-grade fever, tachypnea, expiratory wheezing, and intercostal retractions. In patients who demonstrate severe bronchiolitis, as evidenced by persistently increased respiratory effort or who appear clinically ill, hospitalization is required for close monitoring in addition to supportive care.

Incorrect Answers:
Answers 1-3,5: Severe RSV bronchiolitis carries a high risk of developing asthma.

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