Week #4 i-Human Case Study for 5-Year-Old
Patient, Reason for Encounter: Cough and
Trouble Breathing (Class 6541) Case Year:
2025–2026 100% Guaranteed Pass
1. What is the most critical first step in assessing this patient?
a) Order a chest X-ray
b) Perform a detailed physical exam
c) Obtain a thorough history and assess airway, breathing, and circulation (ABCs) ✓
d) Prescribe an albuterol treatment
2. The parent states the child has had a cough for 3 days. What is your next most important
question about the cough?
a) Is it keeping you, the parent, up at night?
b) Does it sound wet or dry? ✓
c) Does it happen after eating?
d) Is it associated with a fever?
3. When asking about the "trouble breathing," what specific sign should you ask the parent
about first?
a) Nostril flaring ✓
b) Complaints of chest pain
c) Color of the lips
d) Sweating
4. The mother reports the child is breathing fast. What is the clinical term for this?
a) Apnea
b) Bradypnea
c) Tachypnea ✓
d) Dyspnea
5. The parent mentions a "noisy sound" when the child breathes. What is the most critical
follow-up question?
a) Does it happen on the inhale or the exhale? ✓
b) Is it worse at night?
,c) Does it sound like a whistle?
d) Have you given any cough syrup?
6. A high-pitched sound on inhalation is most suggestive of:
a) Pneumonia
b) Lower airway obstruction
c) Upper airway obstruction (e.g., croup) ✓
d) Cardiac wheezing
7. A whistling sound on exhalation is most characteristic of:
a) Stridor
b) Wheezing ✓
c) Rhonchi
d) Rales
8. What key question helps differentiate asthma from bronchiolitis?
a) Is there a family history of asthma? ✓
b) Does the child have a fever?
c) Is the child drinking fluids?
d) What color is the phlegm?
9. What vital sign is most critical to monitor in a child with respiratory distress?
a) Blood Pressure
b) Temperature
c) Heart Rate
d) Oxygen Saturation ✓
10. A history of atopic dermatitis (eczema) in this patient is a strong risk factor for:
a) Pneumonia
b) Asthma ✓
c) Cystic Fibrosis
d) Influenza
11. What social history question is most relevant for a child with respiratory symptoms?
a) Does anyone in the home smoke? ✓
b) What is the parents' occupation?
c) Is the family vegetarian?
d) Does the child have pets?
12. Asking about recent sick contacts is important to identify potential:
a) Chronic conditions
,b) Infectious etiology ✓
c) Allergic triggers
d) Genetic disorders
13. A sudden onset of cough and trouble breathing after playing with toys would raise
suspicion for:
a) Asthma exacerbation
b) Foreign body aspiration ✓
c) Bacterial pneumonia
d) Heart failure
14. What symptom is a "red flag" for severe respiratory distress?
a) Runny nose
b) The child can speak in full sentences
c) The child is leaning forward and using neck muscles to breathe ✓
d) Decreased appetite
15. What question helps assess hydration status?
a) How many hours is the child sleeping?
b) How many wet diapees or urinations in the last 24 hours? ✓
c) Is the child watching TV?
d) What is the child's favorite food?
16. A barky, seal-like cough is classic for:
a) Asthma
b) Bronchiolitis
c) Croup ✓
d) Pneumonia
17. A history of a low-grade fever and profuse runny nose preceding a worsening cough and
wheeze is classic for:
a) Foreign body aspiration
b) Bronchiolitis ✓
c) Epiglottitis
d) Pertussis
18. What immunization history is crucial to ask about for a respiratory case?
a) HPV vaccine
b) DTaP and Hib vaccines ✓
, c) MMR vaccine
d) Varicella vaccine
19. A paroxysmal cough followed by a "whooping" sound and post-tussive vomiting suggests:
a) Asthma
b) Pneumonia
c) Pertussis ✓
d) GERD
20. What family history is most relevant for a child with wheezing?
a) History of diabetes
b) History of asthma and allergies ✓
c) History of migraines
d) History of hypertension
21. The parent says the child's lips looked blue for a moment. What is the term for this?
a) Cyanosis ✓
b) Pallor
c) Erythema
d) Jaundice
22. What question assesses for exercise-induced asthma?
a) Does the cough start when they are running and playing? ✓
b) Does the cough happen after a bath?
c) Is the cough worse when lying down?
d) Does the cough occur while eating?
23. Nighttime awakening due to cough is a common feature of:
a) The common cold only
b) Uncontrolled asthma ✓
c) Streptococcal pharyngitis
d) Sinusitis
24. What dietary history might be relevant if you suspect an allergic component?
a) Recent introduction of new foods ✓
b) The child's preference for juice
c) The amount of dairy consumed
d) Whether the child takes a vitamin
25. The parent mentions the child has been "less active." This should be documented as:
a) A normal finding with a cold
Patient, Reason for Encounter: Cough and
Trouble Breathing (Class 6541) Case Year:
2025–2026 100% Guaranteed Pass
1. What is the most critical first step in assessing this patient?
a) Order a chest X-ray
b) Perform a detailed physical exam
c) Obtain a thorough history and assess airway, breathing, and circulation (ABCs) ✓
d) Prescribe an albuterol treatment
2. The parent states the child has had a cough for 3 days. What is your next most important
question about the cough?
a) Is it keeping you, the parent, up at night?
b) Does it sound wet or dry? ✓
c) Does it happen after eating?
d) Is it associated with a fever?
3. When asking about the "trouble breathing," what specific sign should you ask the parent
about first?
a) Nostril flaring ✓
b) Complaints of chest pain
c) Color of the lips
d) Sweating
4. The mother reports the child is breathing fast. What is the clinical term for this?
a) Apnea
b) Bradypnea
c) Tachypnea ✓
d) Dyspnea
5. The parent mentions a "noisy sound" when the child breathes. What is the most critical
follow-up question?
a) Does it happen on the inhale or the exhale? ✓
b) Is it worse at night?
,c) Does it sound like a whistle?
d) Have you given any cough syrup?
6. A high-pitched sound on inhalation is most suggestive of:
a) Pneumonia
b) Lower airway obstruction
c) Upper airway obstruction (e.g., croup) ✓
d) Cardiac wheezing
7. A whistling sound on exhalation is most characteristic of:
a) Stridor
b) Wheezing ✓
c) Rhonchi
d) Rales
8. What key question helps differentiate asthma from bronchiolitis?
a) Is there a family history of asthma? ✓
b) Does the child have a fever?
c) Is the child drinking fluids?
d) What color is the phlegm?
9. What vital sign is most critical to monitor in a child with respiratory distress?
a) Blood Pressure
b) Temperature
c) Heart Rate
d) Oxygen Saturation ✓
10. A history of atopic dermatitis (eczema) in this patient is a strong risk factor for:
a) Pneumonia
b) Asthma ✓
c) Cystic Fibrosis
d) Influenza
11. What social history question is most relevant for a child with respiratory symptoms?
a) Does anyone in the home smoke? ✓
b) What is the parents' occupation?
c) Is the family vegetarian?
d) Does the child have pets?
12. Asking about recent sick contacts is important to identify potential:
a) Chronic conditions
,b) Infectious etiology ✓
c) Allergic triggers
d) Genetic disorders
13. A sudden onset of cough and trouble breathing after playing with toys would raise
suspicion for:
a) Asthma exacerbation
b) Foreign body aspiration ✓
c) Bacterial pneumonia
d) Heart failure
14. What symptom is a "red flag" for severe respiratory distress?
a) Runny nose
b) The child can speak in full sentences
c) The child is leaning forward and using neck muscles to breathe ✓
d) Decreased appetite
15. What question helps assess hydration status?
a) How many hours is the child sleeping?
b) How many wet diapees or urinations in the last 24 hours? ✓
c) Is the child watching TV?
d) What is the child's favorite food?
16. A barky, seal-like cough is classic for:
a) Asthma
b) Bronchiolitis
c) Croup ✓
d) Pneumonia
17. A history of a low-grade fever and profuse runny nose preceding a worsening cough and
wheeze is classic for:
a) Foreign body aspiration
b) Bronchiolitis ✓
c) Epiglottitis
d) Pertussis
18. What immunization history is crucial to ask about for a respiratory case?
a) HPV vaccine
b) DTaP and Hib vaccines ✓
, c) MMR vaccine
d) Varicella vaccine
19. A paroxysmal cough followed by a "whooping" sound and post-tussive vomiting suggests:
a) Asthma
b) Pneumonia
c) Pertussis ✓
d) GERD
20. What family history is most relevant for a child with wheezing?
a) History of diabetes
b) History of asthma and allergies ✓
c) History of migraines
d) History of hypertension
21. The parent says the child's lips looked blue for a moment. What is the term for this?
a) Cyanosis ✓
b) Pallor
c) Erythema
d) Jaundice
22. What question assesses for exercise-induced asthma?
a) Does the cough start when they are running and playing? ✓
b) Does the cough happen after a bath?
c) Is the cough worse when lying down?
d) Does the cough occur while eating?
23. Nighttime awakening due to cough is a common feature of:
a) The common cold only
b) Uncontrolled asthma ✓
c) Streptococcal pharyngitis
d) Sinusitis
24. What dietary history might be relevant if you suspect an allergic component?
a) Recent introduction of new foods ✓
b) The child's preference for juice
c) The amount of dairy consumed
d) Whether the child takes a vitamin
25. The parent mentions the child has been "less active." This should be documented as:
a) A normal finding with a cold
