Question

A 10-year-old boy has asthma symptoms (wheeze and cough) two to three days per week and wakes at night once per week. He has required three courses of oral prednisone in the last year. He currently uses salbutamol as needed only. Which is the most appropriate step in long-term management?

Accepted Answer

Start daily low-dose inhaled corticosteroid

Answer

Continue salbutamol as needed only

Answer

Add a long-acting beta-agonist without inhaled corticosteroid

Answer

Switch to as-needed oral salbutamol syrup

Answer

Use chronic oral prednisone 5 mg daily

Practice question

A 10-year-old boy has asthma symptoms (wheeze and cough) two to three days per week and wakes at night once per week. He has required three courses of oral prednisone in the last year. He currently uses salbutamol as needed only. Which is the most appropriate step in long-term management?