A 28-year-old with moderate persistent asthma has two steroid-requiring exacerbations this year despite adherence to low-dose inhaled corticosteroid (...

Question

A 28-year-old with moderate persistent asthma has two steroid-requiring exacerbations this year despite adherence to low-dose inhaled corticosteroid (ICS). She wants a regimen proven to reduce exacerbations. Best next step?

Accepted Answer

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

Answer

Continue current low-dose ICS with albuterol as needed.

Answer

Add tiotropium and continue SABA as reliever.

Answer

Increase to high-dose ICS monotherapy.

Answer

Start fixed-dose ICS/LABA for maintenance with SABA as reliever.

us-abfm MCQ (SBA): Asthma

A 28-year-old with moderate persistent asthma has two steroid-requiring exacerbations this year despite adherence to low-dose inhaled corticosteroid (ICS). She wants a regimen proven to reduce exacerbations. Best next step?