1
LRT- Peds (CAP, Croup,
Bronchiolitis, Pertussis, CF)
Questions and Answers (100%
Correct Answers) Already Graded A+
Signs of Respiratory Distress Ans: 1. Tachypenea, RR,
© 2026 Assignment
breaths/min
Guru01 - Stuvia
- 0-2 months: >60
Expert
- 2-12 months: >50
- 1-5 years: >40
- >5 years: >20
2. dyspena
3. retractions (suprasternal, intercostals, subcostal
4. grunting
5. nasal flaring
6. apnea
7. altered mental status
8. pulse Ox <90% on room air
, 2
how BP and RR vary depending on age Ans: BP is lower in
infants/peds than adults
CAP: pneumonia Ans: S. pneumoniae
H. influenza, M. Catarrhalis (beta-lactamase inhib required to
treat these)
Atypicals: M. pneumoniae, C. pneumoniae
© 2026 Assignment
-less common in kids < 5
Guru01 - Stuvia
S. Aureus
Expert
Viruses: influenza, adenovirus
CAP: how PCV-13 and Hib affect severity Ans: fully
vaccinated ppl have decreased rate of hospitalization and
severity
CAP: risk factors Ans: Lower SES, school age, congential heart
disease, chronic lung disease, asthma, sickle cell disease,
neuromuscular disorder, congential and acquired
immunodeficiency
CAP: differentiations (bacterial, atypical, viral) Ans: Bacterial:
- follows URI sx w/ abrupt onset
- fever, "toxic",
- localized chest pain, crackles & decreased breath sounds
Atypical:
, 3
- abrupt, fever/HA/photophobia/sore throat
- gradual worsening of non-productive cough
- diffuse inspiratory crackles
Viral:
- gradual onset before URI sx (congestion)
© 2026 Assignment
-NOT toxic
Guru01 - Stuvia
- diffuse bilateral auscultations
Expert
CAP: outpatient vs inpatient Ans: Infants and children w/
CAP: managed in hospital when:
- Moderate to severe CAP
• Defined by several factors including respiratory distress and
hypoxemia (O2 < 90%)
- Infants < 3-6 months of age w/ suspected bacterial CAP
- Suspected/documented pathogen w/ increased virulence
(e.g., CA-MRSA)
- Concern about careful observation at home
• Unable to comply with therapy or be followed up
CAP: criteria for severity Ans: consider ICU care or unit w/ CV
monitoring when:
LRT- Peds (CAP, Croup,
Bronchiolitis, Pertussis, CF)
Questions and Answers (100%
Correct Answers) Already Graded A+
Signs of Respiratory Distress Ans: 1. Tachypenea, RR,
© 2026 Assignment
breaths/min
Guru01 - Stuvia
- 0-2 months: >60
Expert
- 2-12 months: >50
- 1-5 years: >40
- >5 years: >20
2. dyspena
3. retractions (suprasternal, intercostals, subcostal
4. grunting
5. nasal flaring
6. apnea
7. altered mental status
8. pulse Ox <90% on room air
, 2
how BP and RR vary depending on age Ans: BP is lower in
infants/peds than adults
CAP: pneumonia Ans: S. pneumoniae
H. influenza, M. Catarrhalis (beta-lactamase inhib required to
treat these)
Atypicals: M. pneumoniae, C. pneumoniae
© 2026 Assignment
-less common in kids < 5
Guru01 - Stuvia
S. Aureus
Expert
Viruses: influenza, adenovirus
CAP: how PCV-13 and Hib affect severity Ans: fully
vaccinated ppl have decreased rate of hospitalization and
severity
CAP: risk factors Ans: Lower SES, school age, congential heart
disease, chronic lung disease, asthma, sickle cell disease,
neuromuscular disorder, congential and acquired
immunodeficiency
CAP: differentiations (bacterial, atypical, viral) Ans: Bacterial:
- follows URI sx w/ abrupt onset
- fever, "toxic",
- localized chest pain, crackles & decreased breath sounds
Atypical:
, 3
- abrupt, fever/HA/photophobia/sore throat
- gradual worsening of non-productive cough
- diffuse inspiratory crackles
Viral:
- gradual onset before URI sx (congestion)
© 2026 Assignment
-NOT toxic
Guru01 - Stuvia
- diffuse bilateral auscultations
Expert
CAP: outpatient vs inpatient Ans: Infants and children w/
CAP: managed in hospital when:
- Moderate to severe CAP
• Defined by several factors including respiratory distress and
hypoxemia (O2 < 90%)
- Infants < 3-6 months of age w/ suspected bacterial CAP
- Suspected/documented pathogen w/ increased virulence
(e.g., CA-MRSA)
- Concern about careful observation at home
• Unable to comply with therapy or be followed up
CAP: criteria for severity Ans: consider ICU care or unit w/ CV
monitoring when:
