A 34-year-old with moderate persistent asthma has ≥2 exacerbations this year despite low-dose ICS. Best next step to reduce exacerbations and simplify...

Question

A 34-year-old with moderate persistent asthma has ≥2 exacerbations this year despite low-dose ICS. Best next step to reduce exacerbations and simplify reliever use?

Accepted Answer

Use budesonide-formoterol as single maintenance and reliever therapy (SMART)

Answer

Add a long-acting muscarinic antagonist and keep SABA as reliever

Answer

Switch to high-dose ICS alone

Answer

Add montelukast and continue SABA only

Answer

Continue current regimen and add theophylline

us-abfm MCQ (SBA): Asthma (Controller Strategy)

A 34-year-old with moderate persistent asthma has ≥2 exacerbations this year despite low-dose ICS. Best next step to reduce exacerbations and simplify reliever use?