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Croup — RCPSC EM MCQ

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EasyPaediatric emergenciesCroupRCPSC EM

CTAS 2. A 2-year-old has barking cough, fever, and inspiratory stridor at rest. SpO2 is 95%, RR 34, and there is moderate indrawing. He is alert but upset when examined. What is the most appropriate initial management?

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Correct answer: E — Oral dexamethasone and nebulized epinephrine

Moderate-to-severe croup with stridor at rest requires corticosteroid plus nebulized epinephrine and observation for recurrence.

Reference: Canadian Paediatric Society: Acute management of croup in the ED