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A 2­year­old Child Is Brought to the Clinic After Developing

Question 11

Multiple Choice

A 2­year­old child is brought to the clinic after developing a hoarse, bark­like
cough during the night with "trouble catching his breath" according to the parent. The history reveals a 2 day history of low­grade fever and upper respiratory symptoms. On exam, the child has a respiratory rate of 40 breaths per minute, occasional stridor when crying, and a temperature of 101.3°F. What is the next step in treatment for this child?


A) Administer intramuscular dexamethasone.
B) Admit the child for inpatient hospitalization.
C) Give the child a racemic epinephrine treatment in the office.
D) Prescribe oral dexamethasone for 2 days.

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