Pediatric Respiratory: Croup/Epiglottitis Quiz

1. A 4-year-old with croup shows severe stridor at rest and retractions. After dexamethasone, what is next?

Immediate intubation

Racemic epinephrine nebulization

Oxygen therapy only

Discharge home

2. A 2-year-old with croup has mild symptoms. Which management is appropriate?

Hospitalization mandatory

Dexamethasone and home care with follow-up

Antibiotics only

Immediate intubation

3. Which complication is more common in epiglottitis than croup?

Subglottic stenosis

Bacteremia and sepsis

Secondary bacterial infection

Recurrent episodes

4. Antibiotic therapy is indicated in epiglottitis to cover Haemophilus influenzae and which other organism?

Streptococcus pneumoniae

Parainfluenza

Respiratory syncytial virus

Rhinovirus

Submit

6. Humidified air or cool mist therapy is most beneficial in which condition?

Epiglottitis

Croup

Both equally

Neither

7. A child with suspected epiglottitis should not have which procedure performed without airway secured first?

Throat culture

Blood cultures

Chest X-ray

Lateral neck X-ray

8. Croup typically affects children in which age group most commonly?

Infants under 6 months

6 months to 3 years

4 to 8 years

Adolescents

9. In epiglottitis, which clinical finding indicates the most severe airway compromise?

Stridor

Cough

Cyanosis or altered mental status

Fever

10. The 'steeple sign' on X-ray is associated with which condition?

Epiglottitis

Croup

Tracheomalacia

Laryngotracheobronchitis only

11. A 3-year-old presents with a barky, seal-like cough and inspiratory stridor. Which condition is most likely?

Croup

Epiglottitis

Asthma

Foreign body aspiration

12. Which vaccine has significantly reduced the incidence of epiglottitis in children?

Haemophilus influenzae type b (Hib)

Pneumococcal

Diphtheria-pertussis-tetanus

Measles-mumps-rubella

Submit

14. Racemic epinephrine nebulization is used in croup primarily to reduce which symptom?

Fever

Stridor and airway edema

Cough duration

Secretions

15. A child with epiglottitis assumes which position to maintain airway patency?

Supine

Tripod or sitting upright

Left lateral decubitus

Prone

16. Croup is most commonly caused by which virus?

Parainfluenza virus

Influenza A

Adenovirus

Coronavirus

17. The 'epiglottis sign' on lateral neck X-ray in epiglottitis appears as which shape?

Steeple sign

Thumbprint sign

Sail sign

Pencil sign

18. A child with croup shows moderate stridor at rest. What is the first-line treatment?

Intubation

Dexamethasone

Epinephrine nebulization

Antibiotics

19. Which finding is characteristic of epiglottitis rather than croup?

Gradual onset over days

Acute onset with drooling and dysphagia

Night-time symptoms worse

Responds to cool mist

20. Epiglottitis is classically caused by which organism?

Parainfluenza virus

Haemophilus influenzae type b

Respiratory syncytial virus

Rhinovirus

Peds Airway Quiz: Croup or Epiglottitis?

1. A 4-year-old with croup shows severe stridor at rest and retractions. After dexamethasone, what is next?

2.

What first name or nickname would you like us to use?

2. A 2-year-old with croup has mild symptoms. Which management is appropriate?

3. Which complication is more common in epiglottitis than croup?

4. Antibiotic therapy is indicated in epiglottitis to cover Haemophilus influenzae and which other organism?

5. The onset of symptoms in croup is typically ____.

6. Humidified air or cool mist therapy is most beneficial in which condition?

7. A child with suspected epiglottitis should not have which procedure performed without airway secured first?

8. Croup typically affects children in which age group most commonly?

9. In epiglottitis, which clinical finding indicates the most severe airway compromise?

10. The 'steeple sign' on X-ray is associated with which condition?

11. A 3-year-old presents with a barky, seal-like cough and inspiratory stridor. Which condition is most likely?

12. Which vaccine has significantly reduced the incidence of epiglottitis in children?

13. Epiglottitis is a medical emergency because of risk of sudden ____.

14. Racemic epinephrine nebulization is used in croup primarily to reduce which symptom?

15. A child with epiglottitis assumes which position to maintain airway patency?

16. Croup is most commonly caused by which virus?

17. The 'epiglottis sign' on lateral neck X-ray in epiglottitis appears as which shape?

18. A child with croup shows moderate stridor at rest. What is the first-line treatment?

19. Which finding is characteristic of epiglottitis rather than croup?

20. Epiglottitis is classically caused by which organism?