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Asthma diagnosis — DCH MCQ

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ModerateChronic conditionsAsthma diagnosisDCH

A 7-year-old has cough and wheeze with exercise and at night. Symptoms improve after salbutamol; spirometry shows obstructive pattern with bronchodilator reversibility. What is the most likely diagnosis?

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Correct answer: C — Asthma

Variable wheeze and night symptoms with objective bronchodilator reversibility support asthma. Habit cough may be absent during sleep and would not show reversible obstruction. The pearl is that objective testing should be used in school-age children where feasible.

Reference: NICE NG245