A 45-year-old with asthma uses albuterol 3 times/week and wakes at night twice weekly. Spirometry FEV1 78% predicted. According to NAEPP 2020, prefer...

Question

A 45-year-old with asthma uses albuterol >3 times/week and wakes at night twice weekly. Spirometry FEV1 78% predicted. According to NAEPP 2020, preferred controller?

Accepted Answer

Low-dose ICS daily

Answer

Montelukast monotherapy

Answer

SABA-only strategy

Answer

As-needed low-dose ICS with SABA

Answer

Long-acting muscarinic antagonist only

us-abfm MCQ (SBA): Asthma (Step 2)

A 45-year-old with asthma uses albuterol >3 times/week and wakes at night twice weekly. Spirometry FEV1 78% predicted. According to NAEPP 2020, preferred controller?