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Severe croup — ACEM Fellowship MCQ

Instant feedback + full explanation. One question, done properly.

EasyPaediatric emergenciesSevere croupACEM Fellowship

A 2-year-old presents to a Perth ED, triage category 2, with barking cough, stridor at rest and moderate recession. Temp is 37.9 C, SpO2 95% on air and the child is alert but distressed when examined. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: C — Nebulised adrenaline and oral dexamethasone

Stridor at rest and recession are severe croup; nebulised adrenaline gives temporary relief while dexamethasone treats inflammation.

Reference: RCH croup guideline; ACEM paediatric airway curriculum