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Asthma – uncontrolled — RACP Paediatrics MCQ

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ModerateRespiratoryAsthma – uncontrolledRACP Paediatrics

An 8-year-old child is currently on low-dose ICS and SABA reliever for asthma. Despite good adherence and inhaler technique, he continues to have symptoms most days and has required two courses of oral prednisolone in the past 3 months. What is the most appropriate next step?

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Correct answer: B — Medium-dose ICS + LABA

For a primary school-aged child with uncontrolled asthma on low-dose ICS with good adherence and technique, stepping up to medium-dose ICS with addition of a LABA (in children ≥6 years) is appropriate. This follows the step-up approach outlined in the Australian Asthma Handbook and RCH CPG.

Reference: RCH Melbourne – 2023 – Asthma in Primary School-Aged Children (6-11 years) CPG; National Asthma Council Australia – 2022 – Australian Asthma Handbook