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Bronchiolitis — RACP Paediatrics MCQ

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EasyRespiratoryBronchiolitisRACP Paediatrics

A 4-month-old boy presents to the emergency department in winter with 2 days of coryza, cough and increasing respiratory distress. On examination he has a respiratory rate of 68/min, moderate subcostal recession, and widespread crackles. Oxygen saturation is 91% in room air. He is breastfeeding but taking smaller volumes. According to the Australasian Bronchiolitis Guideline (2025), which of the following is the most appropriate initial management?

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Correct answer: C — Supplemental oxygen and supportive care with nasogastric feeds

The Australasian Bronchiolitis Guideline (2025 PREDICT update) reinforces that management of bronchiolitis is supportive: supplemental oxygen for SpO2 <92%, nasogastric or intravenous fluids for inadequate oral intake, and minimal handling. Bronchodilators (salbutamol, adrenaline), hypertonic saline and corticosteroids are not recommended for routine use in bronchiolitis.

Reference: PREDICT Network – 2025 – Australasian Bronchiolitis Guideline: 2025 Update