4-H Livestock Skillathon Practice Exam

Access More Questions

A 4-year-old boy who recently emigrated from Eastern Europe presents with a chronic nonproductive cough for one month and weight loss (dropping from 50th to 10th percentile). His mother denies high fevers or night sweats. Auscultation is clear. What is the most appropriate next step in management?

Prescribe empiric amoxicillin Perform spirometry before and after bronchodilator Obtain a chest x-ray and tuberculin skin test Reassure the mother that it is a post-viral cough

Correct Answer:

Obtain a chest x-ray and tuberculin skin test

Explanation:

In a child from an endemic region presenting with chronic cough and failure to thrive, primary pulmonary tuberculosis must be ruled out. A chest radiograph and TST (or IGRA) are the preferred initial diagnostic tests.

Access more questions from this quiz

Continue to 4-H Livestock Skillathon Practice Exam for more practice questions and the full quiz experience.

Access More Questions