1. TRUE/FALSE?
A. The dose of salbutamol for acute asthma is 6 puffs (via spacer) or 2.5mg (via nebuliser) in children below 6 years of age.

1. TRUE/FALSE?
B. In children below 6 years of age, systemic steroid therapy should be reserved for moderate to severe asthma episodes, particularly those requiring hospitalisation.

1. TRUE/FALSE?
C. The current recommended dose of oral prednisolone in moderate to severe asthma flare up is 1-2mg/kg (max 50mg) initial dose and 1mg/kg/day given for three to five days.

1. TRUE/FALSE?
D. Carbon dioxide retention detected on a venous or arterial blood gas is suggestive of a moderate acute asthma episode.

1. TRUE/FALSE?
E. Pulse oximetry during acute asthma episodes is a good guide for discharge from hospital.

1. TRUE/FALSE?
F. A chest X-ray is indicated during every episode of acute asthma in a child

2. 2yo presents to hospital and is treated for a mild episode of acute asthma. Parents had been treating at home with salbutamol via spacer without much response over 12 hours. Good response to standard management in hospital.
TRUE/FALSE - what factors may have contributed to lack of response to treatment at home?
A. Parents did not initiate oral steroids at home

TRUE/FALSE - what factors may have contributed to lack of response to treatment at home?
B. Parents used a spacer device as opposed to a nebuliser which is more effective in young children.

TRUE/FALSE - what factors may have contributed to lack of response to treatment at home?
C. Parents were giving 2 puffs of salbutamol four hourly.

TRUE/FALSE - what factors may have contributed to lack of response to treatment at home?
D. You checked the technique of spacer use and the parents had been administering one puff followed by one breath and then the next puff.