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Childhood asthma — MCCQE Part 1 MCQ

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EasyWheezingChildhood asthmaMCCQE Part 1

A 5-year-old girl has persistent dry cough x 3 weeks, especially at night and with exercise. 3 similar episodes in the past year. Mother has asthma. Normal CXR. Most appropriate initial management?

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Correct answer: B — Inhaled salbutamol PRN plus low-dose ICS

Recurrent episodic nocturnal/exercise cough + family history of atopy = asthma. CTS/CPS: SABA PRN + low-dose ICS as initial controller. Response to therapy helps confirm diagnosis in young children.

Reference: CTS/CPS Asthma Guidelines