Here’s the worked answer to VAQ 3. Of course the obvious diagnosis was pneumonia, but did you manage to work in all of the subtleties specific to this question?
This question raised some useful teaching points, so here they are:
PAEDS VITAL SIGNS
You must know these to answer paediatric resuscitation questions accurately. Draw up a table, and post on your bathroom mirror, and read it every night while brushing your teeth, so you have it drilled in for the exam.
See our article on interpreting chest X-ray opacities for more details on this often poorly done part of exam answers.
PAEDS FLUID RESUSC
This is a current area of debate in the literature and you need to know what the current controversies are. EMPEM.org have a great discussion of this, and you should read/listen to it.
PAEDS PNEUMONIA ANTIBIOTICS
Check out our summary of the Therapeutic Guidelines section on paeds pneumonia treatment.