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practice exam 2026
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Comprehensive Pediatric Case Study
5-Year-Old Child with Cough and Difficulty Breathing
Patient Profile
• Name: J.D. (initials only)
• Age: 5 years
• Gender: Male
• Weight: 18 kg
• Allergies: No known drug allergies
• Immunizations: Up to date
• Source of History: Mother
Chief Complaint
“My child has been coughing and having trouble breathing since last night.”
History of Present Illness
J.D. is a 5-year-old male brought to the emergency department by his mother with a 2-day
history of cough and increased work of breathing that worsened overnight. The cough is
described as dry and persistent, accompanied by shortness of breath and wheezing. The
mother reports a low-grade fever and decreased appetite. There is no vomiting or diarrhea. J.D.
has had similar symptoms in the past during seasonal changes.
Past Medical History
• Mild intermittent asthma (diagnosed at age 3)
• No prior hospitalizations
• No surgeries
Family History
• Mother has asthma
• No family history of congenital heart disease
practice exam 2026
practice exam 2026
,2|Page
practice exam 2026
, 3|Page
Comprehensive Pediatric Case Study
5-Year-Old Child with Cough and Difficulty Breathing
Patient Profile
• Name: J.D. (initials only)
• Age: 5 years
• Gender: Male
• Weight: 18 kg
• Allergies: No known drug allergies
• Immunizations: Up to date
• Source of History: Mother
Chief Complaint
“My child has been coughing and having trouble breathing since last night.”
History of Present Illness
J.D. is a 5-year-old male brought to the emergency department by his mother with a 2-day
history of cough and increased work of breathing that worsened overnight. The cough is
described as dry and persistent, accompanied by shortness of breath and wheezing. The
mother reports a low-grade fever and decreased appetite. There is no vomiting or diarrhea. J.D.
has had similar symptoms in the past during seasonal changes.
Past Medical History
• Mild intermittent asthma (diagnosed at age 3)
• No prior hospitalizations
• No surgeries
Family History
• Mother has asthma
• No family history of congenital heart disease
practice exam 2026
