Croup — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRespiratoryCroupRACP Paediatrics

A 4-year-old with moderate croup has received oral dexamethasone 0.15 mg/kg and nebulised adrenaline. His stridor settles after 30 minutes. What is the minimum observation period before considering discharge?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — 3-4 hours

After nebulised adrenaline for croup, children must be observed for a minimum of 3-4 hours due to the risk of symptom rebound after the adrenaline effect wears off.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Croup (Laryngotracheobronchitis)