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Bronchiolitis — RACP Paediatrics MCQ

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ModerateRespiratoryBronchiolitisRACP Paediatrics

A 4-month-old has two days of coryza followed by cough, wheeze and poor feeding. Oxygen saturation is 92% in air, respiratory rate is 58/min and there are widespread crackles with mild recession. He is taking about half usual feeds. What is the most appropriate management?

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Correct answer: B — Supportive care with oxygen as needed and assisted hydration

Bronchiolitis is managed with supportive care: minimal handling, oxygen when indicated and hydration support if intake is inadequate. Bronchodilators and corticosteroids are common tempting treatments but are not routine therapy for typical bronchiolitis. The pearl is that feeding and work of breathing are often more useful than wheeze intensity when deciding admission.

Reference: Australasian Bronchiolitis Guideline 2025; RCH Clinical Practice Guidelines: Bronchiolitis