Question

A 27-year-old woman with asthma uses her salbutamol inhaler most days. She wakes at night with wheeze twice weekly. Peak flow is 75% predicted. What is the most appropriate next step in long-term management?

Accepted Answer

Start regular low-dose inhaled corticosteroid (ICS)

Answer

Add a long-acting beta₂-agonist (LABA) without ICS

Answer

Oral prednisolone 10 mg daily for 4 weeks

Answer

Montelukast monotherapy

Answer

Increase SABA to four times daily

Practice question

A 27-year-old woman with asthma uses her salbutamol inhaler most days. She wakes at night with wheeze twice weekly. Peak flow is 75% predicted. What is the most appropriate next step in long-term management?