A 4-year-old boy presents with a 24-hour history of barking cough, stridor at rest and mild recession. He is alert with oxygen saturation 96% on air. ...

Question

A 4-year-old boy presents with a 24-hour history of barking cough, stridor at rest and mild recession. He is alert with oxygen saturation 96% on air. According to UK guidance, what is the most appropriate initial treatment?

Accepted Answer

Single dose oral Dexamethasone.

Answer

Nebulised Adrenaline alone and immediate intubation.

Answer

High-dose inhaled Salbutamol via spacer.

Answer

Immediate broad-spectrum intravenous antibiotics.

Answer

No treatment and discharge with reassurance only.

uk-plab-1 MCQ (SBA): Croup

A 4-year-old boy presents with a 24-hour history of barking cough, stridor at rest and mild recession. He is alert with oxygen saturation 96% on air. According to UK guidance, what is the most appropriate initial treatment?