Chapter 29

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Croup

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 th days. Reference: TC 5  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 Copyright © 2000 to 2010 TIPS Inc. Unauthorized reproduction of this manual is strictly prohibited and it is 28-1 illegal to reproduce without permission. This manual is being used during review sessions conducted by PharmacyPrep

PharmacyPrep.Com

Croup

(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 doesn’t 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 for further management. Steroid is important since since he has not taken it for the past 4 hours. Reference: Therapeutic Choices 5th edition Page 682

Copyright © 2000 to 2010 TIPS Inc. Unauthorized reproduction of this manual is strictly prohibited and it is 28-2 illegal to reproduce without permission. This manual is being used during review sessions conducted by PharmacyPrep