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Bronchiectasis – airway clearance — RACP Paediatrics MCQ

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EasyRespiratoryBronchiectasis – airway clearanceRACP Paediatrics

A child with established non-CF bronchiectasis asks about daily management to slow disease progression. What is the single most important daily intervention?

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Correct answer: B — Chest physiotherapy (airway clearance)

Regular chest physiotherapy (airway clearance techniques) is the cornerstone of bronchiectasis management. It removes retained secretions, reduces bacterial load, and slows disease progression. Techniques are adapted to age and preference (PEP devices, active cycle of breathing, autogenic drainage, exercise). It should be performed at least once daily and increased during exacerbations.

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