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Asthma therapy — SCE Respiratory MCQ

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EasyRespiratory MedicineAsthma therapySCE Respiratory

A 45-year-old with mild persistent asthma (age ≥12) has symptoms >2 days/week. Appropriate step therapy?

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Correct answer: C — Low-dose ICS daily or PRN ICS with SABA used together

For mild persistent asthma, options include daily low-dose ICS or PRN concomitant ICS with SABA; SABA alone is inadequate. LABA monotherapy is contraindicated. Chronic oral steroids are not indicated. Montelukast is not preferred given limited benefit and boxed warning.

Reference: NHLBI/NAEPP Focused Updates (2020): Asthma Management