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Asthma — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareAsthmaUSMLE Step 3

A 29-year-old woman has cough and wheeze three times weekly and wakes twice monthly with symptoms. Spirometry shows reversible obstruction. She uses albuterol several times each week and has no history of intubation. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: AStart low-dose inhaled corticosteroid therapy

Persistent asthma requires anti-inflammatory controller therapy; inhaled corticosteroids reduce exacerbations and symptoms.

Reference: NHLBI/NAEPP Asthma Focused Updates; GINA Strategy 2025