A 48-year-old woman with known asthma is reviewed in clinic. She has been using a Salbutamol inhaler three times daily for months and is waking at nig...

Question

A 48-year-old woman with known asthma is reviewed in clinic. She has been using a Salbutamol inhaler three times daily for months and is waking at night with wheeze twice a week. She is currently on no preventer therapy. What is the most appropriate next step in her long-term management?

Accepted Answer

Start a low-dose inhaled corticosteroid

Answer

Continue Salbutamol only and review in 6 months

Answer

Start regular oral Prednisolone

Answer

Add a long-acting beta agonist inhaler without steroid

Answer

Switch to oral Theophylline

uk-plab-1 MCQ (SBA): Chronic asthma control

A 48-year-old woman with known asthma is reviewed in clinic. She has been using a Salbutamol inhaler three times daily for months and is waking at night with wheeze twice a week. She is currently on no preventer therapy. What is the most appropriate next step in her long-term management?