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PharmacyPrep.

Com Croup
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illegal to reproduce without permission. This manual is being used during review sessions conducted by
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29
PHARMACY PREP

CROUP
1-A 6-year-old child experiencing symptoms of stridor later it is identified as croup. The
symptom of croup generally resolves in?
A-1 week
B-1 month
C-5 days
D-2 days
E-100 days
Ans-D
Tips: symptoms are for 48 hours, some small amount of children have asymptomatic for 5 to 6
days. Reference: TC 5
th
ed. page 678,

2-What is recommended therapy for croup?
A- dexamethasone oral
B-dexamethasone inhaler
C-dexamethasone topical
D-dexamethasone iv
E-nebulized epinephrine
Ans-A

3-What is recommended therapy for croup?
A- dexamethasone oral
B-dexamethasone inhaler
C-epinephrine inhaler
D-epinephrine im
E-nebulized epinephrine
Ans-E

4- Patient 10 years old experiencing stridor (croup) since 4 hours ago. He was admitted to the
hospital with SOB without lethargy this patient may benefit from:
I Inhaled corticosteroid only
II Nebulized epinephrine only
III Both inhaled corticosteroid and nebulized epinephrine

(A)I only
PharmacyPrep.Com Croup
Copyright 2000 to 2010 TIPS Inc. Unauthorized reproduction of this manual is strictly prohibited and it is
illegal to reproduce without permission. This manual is being used during review sessions conducted by
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(B) III only
(C) I and II
(D) II and III
(E) All of the above

Answer: (B)
TIPS: Nebulized epinephrine should be given in the ward since the question doesnt show that
he has been taking it or not, so it is important to watch the response to the nebulizer whether
week or not before contacting ICU for further management. Steroid is important since he has
not taken it for the past 4 hours.
Reference: Therapeutic Choices 5th edition Page 682