The latest on the asthma scene: Kids, teens and keeping it green

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* 1. Excess beta-agonist use in patients with asthma:

is associated with increased exacerbations

is associated with increased mortality

may indicate anxiety or dysfunctional breathing

all of the above.

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* 2. How many 5-day oral steroid courses in a person's lifetime are thought to be associated with an increased long-term risk of adverse effects (such as type 2 diabetes, fractures, cardiovascular and psychiatric complications)?

100

10

4

1

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* 3. At what age would it be appropriate to start AIR/MART therapy with a turbuhaler in a child or adolescent with frequent wheeze?

2 years

4 years

12 years

None of the above

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* 4. Which of the following is NOT a typical symptom for asthma?

Digital clubbing

Chest tightness

Cough with exercise

Overnight wheeze

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* 5. An 11-year-old with suspected asthma is seen in primary care. They have poorly controlled symptoms while receiving a medium dose of inhaled steroid and a long acting beta-agonist. Which of the following is the best next step?

Increase to high dose inhaled corticosteroid

Refer to a paediatrician for investigation

Add inhaled ipratropium

Commence a four week course of prednisone