Residual OSA – CPAP — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRespiratoryResidual OSA – CPAPRACP Paediatrics

A 12-year-old obese child (BMI 34) has severe OSA (AHI 25/hr) persisting after adenotonsillectomy. What is the most appropriate next treatment?

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

Reveal the answer and explanation

Correct answer: A — CPAP therapy

CPAP is the second-line treatment for OSA in children after failed adenotonsillectomy or when surgery is contraindicated. It is particularly important in obese children where residual OSA after surgery is common. Weight loss should be pursued concurrently as it can significantly improve OSA severity.

Reference: RCH Melbourne – 2023 – OSA CPG; RACP Paediatric Curriculum – Respiratory