A 9-year-old girl with known asthma uses a Salbutamol inhaler more than three times per week and has night-time symptoms once a week despite low-dose ...

Question

A 9-year-old girl with known asthma uses a Salbutamol inhaler more than three times per week and has night-time symptoms once a week despite low-dose inhaled corticosteroid. What is the most appropriate next step in management?

Accepted Answer

Add a leukotriene receptor antagonist

Answer

Stop inhaled corticosteroid and increase Salbutamol

Answer

Add long-term oral Prednisolone

Answer

Switch to Theophylline monotherapy

Answer

No change; this is acceptable control

uk-plab-1 MCQ (SBA): Childhood asthma

A 9-year-old girl with known asthma uses a Salbutamol inhaler more than three times per week and has night-time symptoms once a week despite low-dose inhaled corticosteroid. What is the most appropriate next step in management?