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Exercise and Asthma — RACP Paediatrics MCQ

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A 15-year-old girl with well-controlled asthma asks about exercise. What advice should be given?

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

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Correct answer: A — Exercise is encouraged; use SABA 15 minutes before exercise if exercise-induced symptoms occur

Children with asthma should be encouraged to exercise. Pre-exercise SABA (salbutamol 2 puffs via spacer, 15 minutes before) prevents exercise-induced bronchoconstriction in most children. Adequate warm-up also helps. Well-controlled asthma should not limit physical activity. Many elite athletes have asthma.

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