skip to main content

Adrenal Crisis in CAH — RACP Paediatrics MCQ

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

ModerateEndocrinologyAdrenal Crisis in CAHRACP Paediatrics

A 5-year-old with salt-wasting CAH has gastroenteritis and cannot take oral hydrocortisone. Emergency management?

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

Reveal the answer and explanation

Correct answer: E — IM hydrocortisone at stress dose (2 mg/kg) and seek urgent medical attention

Unable to take oral steroids during illness = parenteral stress-dose hydrocortisone to prevent adrenal crisis.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: CAH