A 28-year-old with moderate persistent asthma uses budesonide-formoterol twice daily and albuterol as needed but has two exacerbations in 6 months. Wh...

Question

A 28-year-old with moderate persistent asthma uses budesonide-formoterol twice daily and albuterol as needed but has two exacerbations in 6 months. Which adjustment is preferred to reduce exacerbations?

Accepted Answer

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

Answer

Add theophylline nightly

Answer

Switch to fluticasone-salmeterol plus SABA as reliever

Answer

Add montelukast only

Answer

Use oral prednisone 10 mg daily chronically

us-abfm MCQ (SBA): Asthma Management

A 28-year-old with moderate persistent asthma uses budesonide-formoterol twice daily and albuterol as needed but has two exacerbations in 6 months. Which adjustment is preferred to reduce exacerbations?