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Viral croup — UKMLA MCQ

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EasyPaediatricsViral croupUKMLAPARAMRCEM SBA

A 3-year-old has a barking cough and inspiratory stridor at night. He is alert, sats 96% on air, no drooling. What is the most appropriate immediate treatment?

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Correct answer: BSingle dose oral dexamethasone

Typical mild-moderate croup is treated with a single dose of oral dexamethasone; nebulised adrenaline is reserved for severe distress. Intubation is for impending airway failure. Salbutamol has no role. Antibiotics are not indicated (viral).

Reference: CKS: Croup