Asthma in Children

Question 1

Features of Asthma (2)

Answer 1

Variable

Reversible

Question 2

Genetic Causes of Asthma (2)

Answer 2

Adam 33

ORMDL3

Question 3

Symptoms of Asthma (5)

Answer 3

Wheeze
Cough
Shortness of Breath
Variability
Recurrent Chest Infections

Question 4

How to Diagnose Asthma (2)

Answer 4

History

No Diagnostic Test

Question 5

Tests for Variability in Asthma (3)

Answer 5

Reversibility
PEF Charting
Challenge Tests

Question 6

Tests for Eosinophilic Inflammation or Atopy (3)

Answer 6

FeNo
Blood Eosinophils
IgE Skin Prick Testing

Question 7

If QOL is affected in Asthma how to confirm diagnosis?

Answer 7

Trial of ICS

Question 8

If QOL is not affected how to treat asthma?

Answer 8

Watch and See

Question 9

How long to trial ICS for in Asthma?

Answer 9

2 Months

Question 10

ICS Treatment in Asthma can cause what complication?

Answer 10

Oral Thrush

Question 11

Differential Diagnosis of Asthma under 5 Years Old? (5)

Answer 11

Congenital
Cystic Fibrosis
PCD
Bronchitis
Foreign Body

Question 12

Differential Diagnosis of Asthma over 5 years old? (4)

Answer 12

Dysfunctional Breathing
Vocal Cord Dysfunction
Habitual Cough
Pertussis

Question 13

How to measure control of Asthma? (4)

Answer 13

Short Acting Beta Agonist/Week
Absence School
Nocturnal Symptoms
Exertional Symptoms

Question 14

What treatment to start on in Asthma in Children?

Answer 14

Low Dose ICS

Question 15

Initial add on preventer for children over 5 years old in Asthma?

Answer 15

Add Inhaled LABA

Question 16

Initial add on preventer for children under 5 years old in Asthma?

Answer 16

Add LTRA

Question 17

When should a regular preventer be used in Asthma in Children? (3)

Answer 17

After Diagnostic Test
B2 Agonists >2 Days a Week
Symptoms +3 Times a Week or Waking one night a week

Question 18

A long acting beta agonist in asthma should not be used without?

Answer 18

ICS

Question 19

What preventer should be used in asthma in children?

Answer 19

Leukotriene Receptor Antagonist

Question 20

What Leukotriene Receptor Antagonist can be used in Asthma in children?

Answer 20

Montelukast

Question 21

Dry powder devices only achieve what lung deposition in asthma?

Answer 21

20%

Question 22

How to treat Severe Asthma (5)

Answer 22

IV Salbutamol
IV Aminophylline
IV Magnesium
IV Hydrocortisone
Intubate and Ventilate

Question 23

Adverse Effects of ICS treatment in Asthma? (5)

Answer 23

Height Suppression
Oral Candidasis
Adrenocortical Suppression
Hypertension
Cataracts

Question 24

Adrenocortical Suppression is particularly with what Asthma treatment?

Answer 24

Fluticasone