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Croup — RACP Paediatrics MCQ

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EasyRespiratoryCroupRACP Paediatrics

A 2-year-old with moderate croup has inspiratory stridor at rest and moderate chest wall recession. The child is distressed but able to take oral fluids. What is the most appropriate initial management?

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Correct answer: A — Oral dexamethasone 0.15 mg/kg

For moderate croup, oral dexamethasone 0.15 mg/kg is the first-line treatment. RCH Melbourne CPG recommends this for any croup with stridor present. Nebulised adrenaline is reserved for severe croup (marked recession, cyanosis, decreased air entry, or altered consciousness).

Reference: RCH Melbourne – 2024 – Croup (Laryngotracheobronchitis) CPG