A 7-year-old boy with known asthma presents with nocturnal cough and wheeze twice a week and uses his Salbutamol inhaler most days. He currently uses ...

Question

A 7-year-old boy with known asthma presents with nocturnal cough and wheeze twice a week and uses his Salbutamol inhaler most days. He currently uses Salbutamol as needed only. What is the most appropriate next step in his asthma management?

Accepted Answer

Add a regular inhaled low-dose corticosteroid

Answer

Start oral Prednisolone 10 mg daily long term

Answer

Add a long-acting beta-agonist without inhaled steroid

Answer

No change is required; this is well-controlled asthma

Answer

Stop Salbutamol and start Montelukast alone

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

A 7-year-old boy with known asthma presents with nocturnal cough and wheeze twice a week and uses his Salbutamol inhaler most days. He currently uses Salbutamol as needed only. What is the most appropriate next step in his asthma management?