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Pediatrics · Respiratory: croup
Sample itemA toddler has a barking cough, hoarse voice, and inspiratory stridor that worsens at night. What is the most likely diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Croup
Croup is viral laryngotracheobronchitis causing barking cough, hoarseness, and inspiratory stridor. Severity assessment focuses on stridor at rest, work of breathing, and fatigue.
Option by option
A. Epiglottitis
Epiglottitis presents with toxic appearance, drooling, and severe sore throat rather than a typical bark.
B. Croup (correct)
Correct. The barking cough and nocturnal stridor are characteristic.
C. Bronchiolitis
Bronchiolitis affects the lower airways and causes wheeze or crackles.
D. Asthma
Asthma usually causes expiratory wheeze, not barky cough and stridor.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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