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Pediatric asthma control — USMLE Step 3 MCQ

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

A 10-year-old boy with asthma returns after starting low-dose inhaled corticosteroid. He uses albuterol 4 days weekly and wakes with cough twice monthly. Inhaler technique is poor when demonstrated. Spirometry shows reversible obstruction. Which of the following would you recommend at the follow-up visit?

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

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Correct answer: D — Correct inhaler technique before stepping up therapy

Before stepping up asthma therapy, assess adherence, inhaler technique, triggers, and comorbidities.

Reference: NAEPP Focused Asthma Updates