An adult with moderate persistent asthma has frequent SABA use and two exacerbations in 6 months while on medium-dose ICS plus PRN albuterol. Best nex...

Question

An adult with moderate persistent asthma has frequent SABA use and two exacerbations in 6 months while on medium-dose ICS plus PRN albuterol. Best next step per US guidance?

Accepted Answer

Implement SMART using ICS-formoterol as both controller and reliever

Answer

Add daily LAMA and continue SABA PRN

Answer

Switch to high-dose ICS plus SABA PRN

Answer

Add leukotriene receptor antagonist and continue SABA PRN

Answer

Add theophylline

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

An adult with moderate persistent asthma has frequent SABA use and two exacerbations in 6 months while on medium-dose ICS plus PRN albuterol. Best next step per US guidance?