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Asthma Predictive Index — RACP Paediatrics MCQ

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ModerateRespiratoryAsthma Predictive IndexRACP Paediatrics

A 3-year-old child presents with an acute episode of wheeze. He has had 4 previous episodes of wheeze with viral infections in the past year. He has eczema and egg allergy. His father has asthma. Which feature most strongly predicts persistent asthma?

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Correct answer: AParental asthma

The modified Asthma Predictive Index (mAPI) identifies preschool wheezers at high risk of persistent asthma. Major criteria include parental asthma and physician-diagnosed atopic dermatitis. Parental asthma is the strongest single predictor.

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