Acute Stridor – Post Test

Regarding anatomy and physiology, which of the following statements is correct?

It is 02:00. You are asked by a nurse in the emergency department (ED) to assess a 2-year-old boy. The history taken from the triage nurse is of a 2-day history of coryza and at 10pm he developed stridor when distressed and a barking cough. As you walk into the cubicle you note he is sitting on his mother’s knee.

Your first action should be:

A father brings his 5-year-old son to your ED stating that over the last 6 hours he has had a temperature and is refusing to drink. On examination you find the child has a muffled voice, temperature of 39.2o Celsius and stridor.

Your next action should be:

You receive a telephone call from an ambulance crew. They are bringing in a 5-year-old child with a previous allergic reaction to nuts. Whilst at a party he ate a cupcake and now has stridor, facial swelling, a respiratory rate of 50/ minute and is pale with an urticaral rash.

The first pharmacological treatment that you should give is:

In a 2-year-old child with moderate croup, which of the following statements are correct?

In croup:

In croup, regarding the prognosis:

In the treatment of croup:

In a child with stridor and a history of foreign body aspiration:

Which of the following would favour the diagnosis of bacterial tracheitis over croup in a child with stridor?