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Crohn's Disease — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

HardGastroenterologyCrohn's DiseaseRACP Paediatrics

A 4-year-old has a daily wet cough for six weeks. Growth, oxygen saturation and chest radiography are normal; there is no clubbing, aspiration history, recurrent pneumonia or choking episode. What is the most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Treat probable protracted bacterial bronchitis with extended oral antibiotics

Explanation lettering: D = shown as A · E = shown as D · A = shown as E

C is correct. In an otherwise well child with isolated chronic wet cough and no red flags, probable protracted bacterial bronchitis is treated with an extended course of an appropriate oral antibiotic and reviewed for resolution. A targets asthma, which typically causes dry variable cough. B is reserved for red flags or failed therapy. D prophylaxis is not first-line. E chronic daily wet cough is pathological despite normal radiography.

Reference: RCH Melbourne, Cough: https://www.rch.org.au/clinicalguide/guideline_index/Cough/