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Asthma – adolescent — RACP Paediatrics MCQ

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ModerateRespiratoryAsthma – adolescentRACP Paediatrics

A 14-year-old with newly diagnosed asthma has symptoms 3 times per week and occasional nocturnal wakening. She has had one ED presentation in the past 6 months. According to current Australian guidelines, what is the most appropriate initial maintenance treatment?

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Correct answer: E — Low-dose ICS/formoterol (MART) as needed

Per the RCH Melbourne 2023 Asthma in Adolescents CPG and National Asthma Council Australia, for adolescents with asthma, prescribing SABA alone is no longer recommended. The preferred initial regimen is as-needed low-dose ICS/formoterol (MART approach). This provides both reliever and anti-inflammatory action with each use.

Reference: RCH Melbourne – 2023 – Asthma in Adolescents (12 years and over) CPG; National Asthma Council Australia – 2022 – Australian Asthma Handbook