A 35-year-old man with long-standing asthma uses his Salbutamol inhaler several times a day and wakes most nights with wheeze. His inhaler technique i...

Question

A 35-year-old man with long-standing asthma uses his Salbutamol inhaler several times a day and wakes most nights with wheeze. His inhaler technique is good. He is on low-dose inhaled Beclometasone twice daily. What is the most appropriate next step in stepwise asthma management?

Accepted Answer

Add a long-acting beta-agonist inhaler in a combination inhaler with the steroid

Answer

Increase the dose of Salbutamol only

Answer

Stop the inhaled steroid and use LABA alone

Answer

Add oral Theophylline as next step

Answer

No change; symptoms are acceptable

uk-plab-1 MCQ (SBA): Asthma stepwise management

A 35-year-old man with long-standing asthma uses his Salbutamol inhaler several times a day and wakes most nights with wheeze. His inhaler technique is good. He is on low-dose inhaled Beclometasone twice daily. What is the most appropriate next step in stepwise asthma management?