A 3-year-old girl with a history of intermittent wheeze presents with her third episode of wheezing associated with viral URTIs in the past 6 months. ...

Question

A 3-year-old girl with a history of intermittent wheeze presents with her third episode of wheezing associated with viral URTIs in the past 6 months. She has required oral steroids twice. Between episodes she is asymptomatic. According to CTS asthma guidance for preschoolers, what is the most appropriate strategy?

Accepted Answer

Start a daily low-dose inhaled corticosteroid

Answer

Continue salbutamol as needed with no controller

Answer

Start a LABA inhaler alone

Answer

Start montelukast as sole first-line controller without ICS option

Answer

Use oral prednisone 5 mg daily for winter months

ca-mccqe1 MCQ (SBA): Preschool asthma controller therapy