Cough Conundrums Quiz Question Title * 1. A 7-year-old girl with asthma returns to the clinic after yearly evaluation with her pulmonologist who manages her inhaled corticosteroid. She continues to have exacerbations and cough in the late summer during harvesting season. The patient’s mother states that the pulmonologist completed pulmonary function testing but in addition completed fractional exhaled nitric oxide testing to evaluate the treatment efficacy of which of the following conditions? Allergic asthma Gastroesophageal reflux disease Habit cough Postinfectious hypersensitivity Protracted bacterial bronchitis Question Title * 2. A 5-year-old boy is evaluated in the clinic for cough of 4 weeks’ duration. When the cough began 4 weeks ago, it was associated with congestion, fever, and fatigue. These associated symptoms resolved over the following 7 days, but the cough remained persistent. The child has no history of wheezing, allergies, or prolonged respiratory symptoms. There is no secondhand smoke exposure. On physical examination vital signs are all within normal limits, and lungs are clear to auscultation with no focal crackles or wheezes. Which of the following is the most appropriate pharmacotherapy for the cough? Albuterol Amoxicillin Clindamycin Steroids Ipratropium Question Title * 3. A previously healthy, fully vaccinated 2-year-old is evaluated for the fourth time for cough in the past 6 weeks. He is afebrile and in no respiratory distress. He has mildly decreased lung sounds in the right lower lobe with no crackles or wheezing. He has completed 2 courses of appropriate antibiotics for community-acquired pneumonia. Albuterol does not seem to improve his cough. Evaluation so far has been limited to viral testing, which is negative. Which of the following chest imaging studies is the most appropriate next step in management? CT MRI Radiography PET US Question Title * 4. A 10-year-old girl is evaluated for cough during the past 8 weeks. The parents describe it as a nonproductive cough that sounds like a “honking noise.” It is most prevalent when she is resting such as watching television. They do not hear her cough at night. She has had no associated symptoms such as congestion, fever, weight loss, or fatigue. Which of the following is the best next step in management? Albuterol as needed Amoxicillin Bronchoscopy Chest Radiography Suggestion therapy Question Title * 5. Name Done