1 Day Of Barking in Pediatrics — 3yo Child | Pediatric Respiratory | SMLE Q#11427

SMLE Question #11427

Pediatrics Pediatric Respiratory

Objective: OBJ-273

Last updated: February 2026
A 3-year-old boy presents with 1 day of barking cough, hoarseness, and inspiratory stridor that worsens with crying. He has no drooling and can swallow fluids. He received a single oral dose of dexamethasone for presumed moderate croup and was observed. One hour later, he still has inspiratory stridor at rest with marked chest wall retractions. What is the most appropriate next step in management?

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