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Paediatrics — UKMLA MCQ

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MediumPaediatricsUKMLAMRCEM SBA

A 4-year-old child is brought in with a three-day history of fever, barking cough, and harsh inspiratory stridor. He is quite distressed and tachypnoeic. On examination, stridor is present at rest. According to NICE, what is the most appropriate next step?

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Correct answer: B — Nebulised adrenaline plus corticosteroid

In moderate to severe croup, with stridor at rest, nebulised adrenaline in combination with a corticosteroid is recommended to rapidly improve airway patency. Oral steroids alone are for mild croup without stridor at rest.

Reference: NICE Croup Guideline