A 30-year-old woman with asthma has severe wheeze after viral symptoms. She speaks in short phrases. Peak expiratory flow is 35% predicted and oxygen

Question

A 30-year-old woman with asthma has severe wheeze after viral symptoms. She speaks in short phrases. Peak expiratory flow is 35% predicted and oxygen saturation is 90%. Which of the following is the most appropriate next step in management?

Accepted Answer

Give inhaled albuterol plus ipratropium and systemic corticosteroids

Answer

Schedule spirometry in 6 months before treatment

Answer

Start long-acting beta agonist monotherapy

Answer

Give antibiotics as sole therapy

Answer

Avoid oxygen

Acute asthma exacerbation — USMLE Step 3 MCQ

A 30-year-old woman with asthma has severe wheeze after viral symptoms. She speaks in short phrases. Peak expiratory flow is 35% predicted and oxygen saturation is 90%. Which of the following is the most appropriate next step in management?