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Asthma — RACP Paediatrics MCQ

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ModerateRespiratoryAsthmaRACP Paediatrics

A 7-year-old girl presents with recurrent episodes of wheezing and cough. Her symptoms are well controlled on a low-dose inhaled corticosteroid (ICS). Her parents ask when the ICS can be stopped. According to Australian asthma guidelines, when is it appropriate to consider stepping down therapy?

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Correct answer: B — After 3 months of good symptom control

Australian asthma guidelines recommend reviewing treatment after a minimum of 3 months of good symptom control. If symptoms are well controlled, a step-down approach can be trialled. Patients should be reviewed 6–8 weeks after stepping down. It is important to maintain regular follow-up.

Reference: National Asthma Council Australia – 2024 – Australian Asthma Handbook