Question

A 24-year-old with intermittent wheeze uses albuterol most days. Spirometry confirms asthma; symptoms persist on low-dose ICS. Best step-up strategy for an adult per NAEPP focused updates?

Accepted Answer

Switch to ICS-formoterol as single maintenance and reliever therapy (SMART) at Step 3

Answer

Add tiotropium to SABA alone

Answer

Add oral theophylline

Answer

Use SABA-only therapy at all steps

Answer

Add chronic oral prednisone 5 mg daily

Practice question

A 24-year-old with intermittent wheeze uses albuterol most days. Spirometry confirms asthma; symptoms persist on low-dose ICS. Best step-up strategy for an adult per NAEPP focused updates?