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Asthma — RACP Adult Medicine MCQ

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EasyRespiratoryAsthmaRACP Adult Medicine

A 25-year-old woman with mild intermittent asthma uses salbutamol PRN approximately twice per week. She has had one ED presentation with acute asthma in the past year. What is the recommended preventer strategy?

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Correct answer: D — Low-dose ICS/formoterol PRN alone

Any exacerbation requiring ED attendance indicates the need for a preventer. Current Australian Asthma Handbook and GINA recommend low-dose ICS/formoterol PRN (MART approach) as the preferred strategy at Step 1-2. This provides both relief and anti-inflammatory benefit with each use. SABA-only strategies are no longer preferred.

Reference: Australian Asthma Handbook – 2024; GINA 2024