A 23-year-old woman with asthma uses albuterol most days and wakes at night twice weekly. Spirometry shows reversible obstruction. She is not taking

Question

A 23-year-old woman with asthma uses albuterol most days and wakes at night twice weekly. Spirometry shows reversible obstruction. She is not taking controller therapy. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start inhaled corticosteroid-containing controller therapy

Answer

Continue albuterol alone

Answer

Start chronic oral prednisone

Answer

Refer for lung transplantation evaluation

Answer

Start antibiotic prophylaxis

Asthma step-up therapy — USMLE Step 3 MCQ

A 23-year-old woman with asthma uses albuterol most days and wakes at night twice weekly. Spirometry shows reversible obstruction. She is not taking controller therapy. Which of the following would you recommend at the follow-up visit?