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Asthma — RACP Adult Medicine MCQ

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ModerateRespiratoryAsthmaRACP Adult Medicine

A 55-year-old woman with asthma has been using a SABA inhaler 4 times per week and waking at night with wheeze once weekly. Her FEV1 is 78% predicted. What GINA step treatment is most appropriate?

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Correct answer: A — GINA Step 3: low-dose ICS-LABA maintenance

This patient has partly controlled asthma with symptoms >2 days/week and nocturnal symptoms. This corresponds to GINA Step 3. The preferred controller is low-dose ICS-LABA (e.g. budesonide-formoterol) as maintenance therapy with as-needed low-dose ICS-formoterol as reliever. GINA 2024 recommends ICS-formoterol as the preferred reliever at all steps.

Reference: GINA – 2024 – Global Strategy for Asthma Management and Prevention