A 9-month-old child presented to the ER with characteristic “barking” cough and hoarseness of voice. She had a history of rhinorrhoea, pharyngitis, mild cough, and low-grade fever for 1-3 days. Symptom worsened at night. O/E: – Normal to moderately inflamed pharynx Increased respiratory rate Nasal flaring Suprasternal, infrasternal, and intercostal retractions Continuous inspiratory stridor X-RAY NECK All of the following statements are true about the treatment of the above condition except: –
A 9-month-old child presented to the ER with characteristic “barking” cough and hoarseness of voice. She had a history of rhinorrhoea, pharyngitis, mild cough, and low-grade fever for 1-3 days. Symptom worsened at night. O/E: – Normal to moderately inflamed pharynx Increased respiratory rate Nasal flaring Suprasternal, infrasternal, and intercostal retractions Continuous inspiratory stridor X-RAY NECK All of the following statements are true about the treatment of the above condition except: –
💡 Explanation
**Core Concept**
The child's presentation is consistent with croup, a common respiratory illness in children characterized by a distinctive "barking" cough, hoarseness, and inspiratory stridor due to inflammation of the larynx and trachea.
**Why the Correct Answer is Right**
Croup is often caused by viral infections, such as parainfluenza virus, and treatment typically involves supportive care, including humidification of the air to reduce inflammation and promote healing. The "barking" cough and inspiratory stridor are caused by the narrowing of the airway, which can lead to increased respiratory effort and retractions.
**Why Each Wrong Option is Incorrect**
**Option A:** Steroids are commonly used in the treatment of croup to reduce inflammation and swelling of the airway mucosa, making this statement true.
**Option B:** Inhaled corticosteroids are often used in the treatment of croup, especially in severe cases or those not responding to other treatments, making this statement true.
**Option C:** This option is the correct answer because epinephrine (adrenaline) is not typically used in the treatment of croup. While epinephrine is used in the treatment of anaphylaxis and other severe allergic reactions, it is not indicated for croup.
**Option D:** Racemic epinephrine is sometimes used in the treatment of croup, particularly in severe cases, to reduce airway inflammation and promote healing, making this statement true.
**Clinical Pearl / High-Yield Fact**
In children with croup, the use of humidification and cool mist can help alleviate symptoms, but it's essential to avoid hot water, as it can further irritate the airway.
**Correct Answer:** C.
✓ Correct Answer: D. Oral steroids are not beneficial in mild croup
📤 Share this MCQ
Share Card Preview
👆 1080x1080 square card — fills the full width in WhatsApp and Telegram