AOBP Pediatrics Practice Questions - AOBP Pediatrics Certifying Examination Exam

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A 4-year-old presents with sudden-onset barky cough, hoarseness, and stridor at rest. Temperature 38.5°C, RR 30, SpO2 95%. He appears anxious but alert. What is the most appropriate management?

Oral or IM dexamethasone 0.6 mg/kg and nebulized racemic epinephrine; observe for 3-4 hours post-epinephrine Immediate intubation Discharge home with humidified air only Empiric IV ceftriaxone for epiglottitis

Correct Answer:

Oral or IM dexamethasone 0.6 mg/kg and nebulized racemic epinephrine; observe for 3-4 hours post-epinephrine

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