A 2-year-old child presents with a 3-day history of barking cough, hoarseness, and noisy breathing, which is worse at night. On examination, the child...

Question

A 2-year-old child presents with a 3-day history of barking cough, hoarseness, and noisy breathing, which is worse at night. On examination, the child has audible inspiratory stridor at rest, mild intercostal recession, but is alert and has normal oxygen saturations. Temperature is 37.8°C. According to NICE CKS guidance, what is the most appropriate initial management?

Accepted Answer

Single dose of oral dexamethasone

Answer

Nebulised budesonide

Answer

Nebulised adrenaline (epinephrine)

Answer

Oral antibiotics (e.g., amoxicillin)

Answer

Humidified air therapy

ukmla MCQ (SBA): Croup (Laryngotracheobronchitis)