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Croup — MCCQE Part 1 MCQ

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EasyCoughCroupMCCQE Part 1

A 2-year-old boy has barking cough, hoarse voice and inspiratory stridor when upset. He is not drooling and can drink fluids. Which of the following is the most appropriate treatment?

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Correct answer: D — Single-dose dexamethasone

Croup is treated with corticosteroid even in mild disease, commonly single-dose dexamethasone. Nebulized epinephrine is used for moderate to severe respiratory distress or stridor at rest, with observation for recurrence. Drooling, toxic appearance or tripod posture would suggest epiglottitis or bacterial tracheitis.

Reference: Canadian Paediatric Society croup guidance