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Viral croup — MCCQE Part 1 MCQ

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EasyChild with FeverViral croupMCCQE Part 1

A 4-year-old boy has a 2-day barking cough, hoarseness, and inspiratory stridor worse at night. Low-grade fever. Alert and playful with mild retractions. SpO2 97%. Most appropriate initial management?

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Correct answer: C — Single dose oral dexamethasone

Mild croup: single dose dexamethasone (0.6 mg/kg, max 10mg) for ALL croup regardless of severity (CPS). Nebulised epinephrine for moderate-severe (stridor at rest). Croup is viral (parainfluenza).

Reference: CPS Croup Statement