A 35-year-old man with asthma uses low-dose inhaled corticosteroid correctly. He has symptoms most days and wakes weekly. Spirometry confirms

Question

A 35-year-old man with asthma uses low-dose inhaled corticosteroid correctly. He has symptoms most days and wakes weekly. Spirometry confirms reversible obstruction. He has no smoking history and no pneumonia. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Step up controller therapy with an inhaled long-acting beta agonist combination

Answer

Perform lobectomy

Answer

Stop inhaled corticosteroid therapy

Answer

Start chronic oral prednisone as routine maintenance

Answer

Use antibiotics after each wheeze episode

Persistent asthma — USMLE Step 3 MCQ

A 35-year-old man with asthma uses low-dose inhaled corticosteroid correctly. He has symptoms most days and wakes weekly. Spirometry confirms reversible obstruction. He has no smoking history and no pneumonia. Which of the following would you recommend at the follow-up visit?