4-H Livestock Skillathon Practice Exam

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A 4-year-old boy presents with a chronic cough that has lasted for several months. His mother reports he has a history of pruritic, erythematous skin patches and severe allergies to peanuts and eggs. Which of the following characteristics is most likely associated with his cough?

It is described as a 'barking' or seal-like sound It is worse at night and awakens him from sleep It is paroxysmal and followed by an inspiratory whoop It is associated with focal crackles on lung exam

Correct Answer:

It is worse at night and awakens him from sleep

Explanation:

The patient's history of atopy (eczema, food allergies) strongly suggests asthma as the cause of his chronic cough. Asthma coughs are classically worse at night and in the early morning.

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