Return to course: NICE CKS Question Banks
Previous Lesson
Previous
Next
Next Section
Croup (PG)
Return to
Course Curriculum
1. What is the most common causative organism of croup?
*
Respiratory syncytial virus
Parainfluenza virus
Adenovirus
Influenza virus
2. What age group is most commonly affected by croup?
*
<3 months
6 months to 6 years
7–12 years
>12 years
3. What is the classic symptom of croup?
*
Productive cough
Barking cough and inspiratory stridor
Wheeze on expiration
Persistent sneezing
4. Which symptom indicates moderate to severe croup?
*
Mild hoarseness and wheeze
Inspiratory stridor at rest and chest recession
Rhinorrhoea
Dry skin
5. What is the first-line treatment for mild croup?
*
Nebulised adrenaline
Oral dexamethasone
Antibiotics
Steam inhalation
6. When is hospital admission usually indicated in a child with croup?
*
Noisy breathing when active only
Stridor at rest, severe respiratory distress, or poor response to treatment •
Presence of coryzal symptoms
Parental anxiety only
7. What is the mechanism of action of dexamethasone in croup?
*
Antiviral
Anti-inflammatory
Bronchodilation
Sedation
8. What is the typical duration of croup symptoms?
*
1 day
2–3 days
7–10 days
2 weeks
9. Which of the following is NOT a typical feature of croup?
*
Barking cough
Stridor
Hoarseness
Widespread wheeze
10. What time of year is croup most commonly seen?
*
Winter and early spring
Summer
Year-round
Late spring only
11. How is nebulised adrenaline used in the management of croup?
*
As first-line in all cases
Only for mild symptoms
For moderate to severe cases with stridor
As a diagnostic tool
12. Which of these is considered a medical emergency in a child with croup?
*
Coryzal symptoms
Wheeze that resolves on its own
Cyanosis
Fever alone
13. What clinical diagnostic tool is used to determine croup severity in children?
*
Westley
Epworth
PERC
CRO2UP
14. Which investigation is typically used in the diagnosis of croup?
*
Throat swab
Chest X-ray
CT scan
Investigations not routinely required
15. Which of the following is considered part of the differential diagnosis of croup?
*
Bronchiolitis
Foreign body aspiration
Asthma
Tonsillitis
16. Which of the following best describes mild croup?
*
Noisy breathing only, barking cough, mild distress
Stridor at rest with retractions
Cyanosis and lethargy
Requires oxygen therapy
17. What advice should be given to parents managing mild croup at home?
*
Empirical antibiotics and monitor
Antihistamines and monitor
Single dose of oral steroid and monitor
Sleep in prone position and monitor
18. Which of the following may worsen stridor in croup?
*
Crying and agitation
Sleeping
Feeding
Cool air exposure
19. What is the role of humidified air or steam inhalation in croup?
*
Not recommended as routine treatment
Essential for effective recovery
Effective in severe cases only
Only used under consultant-led care
20. How soon after treatment with oral dexamethasone do symptoms of croup usually improve?
*
Immediately
Within 4–6 hours
Within 24 hours
Within 2–3 days