Paediatrics

at a Glance

Lawrence Miall, Mary Rudolf, Dominic Smith

Multiple Choice: Chapter 58 Assessing the acutely ill child

Question 1. A 5 year old girl is seen in A&E with a temperature of 39 °C, a non-specific rash and a respiratory rate of 70 breaths/min. She looks tired and is dropping asleep on her father's lap. What is the most appropriate action?

(a) Check oxygen saturation and if >95% she can go home
(b) Insert a cannula and give intravenous antibiotics
(c) Send her to queue up for a chest X-ray
(d) Check her oxygen saturation and administer oxygen if <92%
(e) Check her rash and if it blanches on pressure she does not have meningococcal disease