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Bronchiolitis — RACP Paediatrics MCQ

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EasyRespiratoryBronchiolitisRACP Paediatrics

A 4-month-old infant has two days of coryza followed by cough, wheeze and reduced feeding. Respiratory rate is 54/min, oxygen saturation is 92% in air and there are widespread crackles with mild recession. He has had no apnoeas. What is the most appropriate management?

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Correct answer: C — Supportive care with nasal suction, hydration assessment and observation

Bronchiolitis is treated with supportive care, focusing on oxygenation, hydration and minimal handling. Bronchodilators, steroids, antibiotics and chest physiotherapy are not routine treatment in typical bronchiolitis. The key is assessing feeding, work of breathing and risk factors rather than treating the wheeze as asthma.

Reference: RCH Bronchiolitis guideline; Australasian Bronchiolitis Guideline