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Preschool asthma — RACP Paediatrics MCQ

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ModerateRespiratoryPreschool asthmaRACP Paediatrics

A 3-year-old with recurrent wheeze associated with viral infections has been started on a trial of low-dose ICS for 8 weeks. Parents report significant improvement in symptoms but question whether the ICS is still needed. What is the most appropriate next step?

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Correct answer: C — Low-dose ICS maintenance + SABA reliever

In preschool children with suspected asthma, a therapeutic trial of ICS is recommended. A clear response supports the diagnosis. Per the RCH Preschool Asthma CPG, if symptoms are controlled on low-dose ICS, the regimen should be maintained for a period before stepping down. Regular review with consideration of stepping down after 3 months of good control is recommended.

Reference: RCH Melbourne – 2023 – Preschool Asthma (1-5 years) CPG