A 22-year-old with known asthma uses salbutamol inhaler most days. Night symptoms weekly and FEV₁ 70% predicted. What is the most appropriate next ste...

Question

A 22-year-old with known asthma uses salbutamol inhaler most days. Night symptoms weekly and FEV₁ 70% predicted. What is the most appropriate next step in maintenance therapy?

Accepted Answer

Add low-dose ICS

Answer

Start high-dose inhaled corticosteroid (ICS)

Answer

Add leukotriene receptor antagonist (LTRA) only

Answer

Start oral prednisolone maintenance

Answer

Add LABA without ICS

mrcgp akt MCQ (SBA): Asthma (Stepwise management)

A 22-year-old with known asthma uses salbutamol inhaler most days. Night symptoms weekly and FEV₁ 70% predicted. What is the most appropriate next step in maintenance therapy?