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Croup — ABFM Board MCQ

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EasyRespiratoryCroupABFM Board

A 3-year-old boy is brought to clinic with a barking cough and hoarse voice after 2 days of rhinorrhea. He has mild inspiratory stridor when agitated but no drooling, tripod positioning, or toxic appearance. Which of the following is the most appropriate initial treatment?

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

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Correct answer: DSingle-dose dexamethasone

Croup is treated with corticosteroids; nebulized epinephrine is reserved for more severe stridor or distress.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html