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Pediatric asthma — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Pediatric asthmaUSMLE Step 3

A 7-year-old boy with asthma uses albuterol 5 days weekly and wakes from cough twice monthly. He has no current distress. Spirometry is consistent with reversible obstruction. Which of the following is the most appropriate at this time?

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

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Correct answer: CStart a daily inhaled corticosteroid-containing controller

Persistent asthma symptoms in children require controller therapy to reduce exacerbations and impairment.

Reference: NHLBI asthma guideline