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Bronchiolitis — RACP Paediatrics MCQ

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EasyRespiratoryBronchiolitisRACP Paediatrics

A 4-month-old with confirmed bronchiolitis has oxygen saturations of 90% and is struggling with feeds. There is no wheeze but widespread crackles. What is the most appropriate management?

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Correct answer: C — Supportive care only (oxygen and feeds)

Per the Australasian Bronchiolitis Guideline (2025), management is supportive. Bronchodilators (salbutamol), corticosteroids, antibiotics, and nebulised hypertonic saline are NOT recommended. Supplemental oxygen for saturations persistently <92% and nasogastric or IV fluids if unable to feed are the mainstays.

Reference: PREDICT Network – 2025 – Australasian Bronchiolitis Guideline 2025 Update