CLIPP Exam Practice 153questions and answers
2024 RATED A+
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
,CLIPP Exam Practice 153questions and answers
2024 RATED A+
C. Infection with Bordetella pertussis in the paroxysmal
stage
D. Atypical pneumonia due to Mycoplasma pneumoniae
E. Laryngotracehobronchitis - correct 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
,CLIPP Exam Practice 153questions and answers
2024 RATED A+
C. Acute bronchiolitis
D. Foreign body aspiration
E. Asthma - correct answer ✅D. Foreign body aspiration
12: A 10-month-old infant is brought to the Peds ED by
her parents, who say she has been coughing persistently
for the last three hours. The parents were watching a
movie at home when they first noticed their daughter
coughing. Patient is a vaccinated, well-nourished infant in
moderate distress with retractions, nasal flaring, and
grunting. On auscultation, you immediately notice
diminished breath sounds in the right lung with normal
breath sounds on the left. What other associated physical
exam finding do you expect to hear?
, CLIPP Exam Practice 153questions and answers
2024 RATED A+
A. Stridor
B. Asymmetric breath sounds and wheezing
C. Rhonchi
D. Crackles
E. Bronchial breath sounds - correct answer ✅B.
Asymmetric breath sounds and wheezing
12: Susie is a 3-year-old girl brought into the clinic by her
mother because she has a gradually worsening cough and
she has been having trouble breathing. Her mother says
Susie sounds like she is barking when she coughs. Susie is
up to date with her vaccinations. Susie's mom always
watches her when she's playing. On physical exam, you
note that Susie has inspiratory stridor. She does not have
wheezing, there are no retractions, and she has
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