Paediatric Infections · NEET PG Preparation Paediatrics
A 2-year-old child presents with a 'barking' cough, inspiratory stridor, and hoarseness of voice that worsens at night. A soft tissue neck X-ray show…
Practice question from Paediatric Infections (NEET PG Preparation Paediatrics), with the correct answer and a step-by-step solution.
easy · MCQ · Q-F602C9
A 2-year-old child presents with a 'barking' cough, inspiratory stridor, and hoarseness of voice that worsens at night. A soft tissue neck X-ray shows subglottic narrowing known as the 'steeple sign'. What is the single most effective pharmacological intervention for this condition?
- A.Inhaled beta-2 agonists
- B.Systemic corticosteroidsCorrect answer
- C.Intravenous broad-spectrum antibiotics
- D.Inhaled recombinant DNAase
Solution
The child has croup (laryngotracheobronchitis), most commonly caused by parainfluenza virus. Systemic corticosteroids (such as oral dexamethasone) are the cornerstone of treatment, reducing airway edema and need for hospitalization or intubation.
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