A 29-year-old man presents with episodic wheeze, chest tightness and cough worse at night and with exercise. Spirometry shows FEV1 70% predicted with ...

Question

A 29-year-old man presents with episodic wheeze, chest tightness and cough worse at night and with exercise. Spirometry shows FEV1 70% predicted with 15% and 250 mL improvement after Salbutamol. Which is the most appropriate initial controller treatment?

Accepted Answer

Daily low-dose inhaled corticosteroid

Answer

Short-acting beta agonist as needed only

Answer

Long-acting beta agonist monotherapy

Answer

Oral montelukast alone

Answer

Systemic prednisone 10 mg daily

ca-mccqe1 MCQ (SBA): Persistent asthma in adults

A 29-year-old man presents with episodic wheeze, chest tightness and cough worse at night and with exercise. Spirometry shows FEV1 70% predicted with 15% and 250 mL improvement after Salbutamol. Which is the most appropriate initial controller treatment?