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Obstructive Sleep Apnoea — RACP Paediatrics MCQ

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HardRespiratoryObstructive Sleep ApnoeaRACP Paediatrics

A 13-year-old obese boy with BMI 34 has loud snoring, witnessed apnoeas, and daytime sleepiness. Tonsils are grade 2. PSG shows OAHI 12/hr with nadir SpO2 82%. What is the most appropriate management?

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Correct answer: B — CPAP therapy

In an obese adolescent with moderate-severe OSA but without significant adenotonsillar hypertrophy, CPAP is the preferred first-line treatment.

Reference: Australasian Sleep Association – 2024 – Position Statement on Paediatric Obstructive Sleep Apnoea