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Paediatric asthma exacerbation — MCCQE Part 1 MCQ

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EasyWheezingPaediatric asthma exacerbationMCCQE Part 1

A 6-year-old with asthma has wheeze, cough and intercostal recession. Oxygen saturation is 90% and he cannot complete sentences. Which of the following is the most appropriate acute management?

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

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Correct answer: D — Oxygen, repeated inhaled salbutamol with ipratropium for severe exacerbation, and systemic corticosteroids

This is a severe paediatric asthma exacerbation requiring oxygen, rapid bronchodilation and systemic steroids. Antibiotics are not routine without bacterial evidence. Controller adjustment matters after stabilization but does not replace acute therapy.

Reference: Canadian Paediatric Society asthma exacerbation guidance