5W's and 1H
Take the Test
"Therapies"
100
This is the unabbreviated name of the most common virus that causes bronchiolitis
What is Respiratory syncytial virus?
100
This is the cost of a full respiratory virus panel.
What is $75?
100
This is the typical flow rate used for HFNC.
What is 2 mL/kg/minute?
2 mL/kg is also the approximate dead space in an older child.
Dead space in infants is 3 mL/kg.
200
This is when patients typically reach the peak of their symptoms.
What is 4-5 days?
200
This is the name of an organization that advocates for reduced use of unnecessary medical tests, treatments and procedures.
What is "Choosing Wisely" (R).
200
These are 2 signs/symptoms of someone who has hypoxia.
What is:
- cyanosis
- altered level of consciousness
- impaired memory
- "feeling weird"**most common
Blurred/tunnel vision, air hunger, hot and cold flashes, euphoria, numbness, tingling, apprehension, nausea, dizziness, headache, fatigue, belligerence.
300
This is the what the X-axis represents.
What is their age (in months)?
300
The amount of radiation from a CXR (single view) is equivalent to ___ day(s) of background radiation.
300
This is the generic name of the medication used for RSV immunoprophylaxis.
What is palivizumab?
400
This figure illustrates various mechanisms that lead to respiratory failure in bronchiolitis. This is what "D" represents.
What is interstitial edema? (or pulmonary edema)
Excess fluid accumulates in the space surrounding the capillary walls.
From Sinha, I. Chest, 2015
400
This is a difference between the DFA and a Respiratory Infection Panel (Viral).
What is testing for 3 viruses versus 15?
-DFA = direct fluorescent-antibody assay for RSV, Influenza A, Influenza B (>95% sensitivity). PCR test
- Respiratory Pathogen panel - 15 respiratory viruses. PCR test.
400
When nebulized epinephrine is used in bronchiolitis, it is primarily used to achieve this.
What is bronchodilation?
Half-life of IV epi is <5 minutes.
500
This is the composition of the purple blob.
What is mucous, epithelial cells and "cellular debris".
500
This device is used to immobilize a patient for a CXR
What is a Pigg-O-Stat? (or what is a PediaGraph Immobilizer)
500
These are 2 characteristics of an infant’s airway that would limit the effectiveness of salbutamol.
What is:
1) immature bronchiolar smooth muscles
2) fewer beta-agonist lung receptor sites
Ref: CPS Bronchiolitis Guideline which quotes Anil,A. Pediatric Pulmonol 2010