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Asthma — RACP Paediatrics MCQ

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EasyRespiratoryAsthmaRACP Paediatrics

A 4-year-old girl has been diagnosed with mild persistent asthma. She weighs 16 kg. According to the Australian Asthma Handbook, what is the recommended first-line preventer therapy?

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Correct answer: E — Low-dose inhaled corticosteroid (e.g. fluticasone propionate 50 mcg twice daily)

The Australian Asthma Handbook recommends low-dose inhaled corticosteroid as first-line preventer therapy for children with mild persistent asthma. For children aged 1–5 years, fluticasone propionate 50 mcg twice daily via pMDI with spacer and mask is a suitable low-dose ICS. Montelukast is a second-line alternative. Combination ICS/LABA is a step-up option.

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