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Asthma exacerbation outpatient — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Asthma exacerbation outpatientUSMLE Step 3

A 9-year-old girl with asthma has wheezing and cough after a viral illness. Oxygen saturation is 96% and she speaks in full sentences. Peak flow is 70% predicted. Symptoms improve after inhaled albuterol in the office. Which of the following is the most appropriate next step in management?

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Correct answer: C — Provide a short course of oral corticosteroids and update asthma action plan

Moderate asthma exacerbation responding to bronchodilator is treated with systemic corticosteroids, bronchodilator plan, and follow-up.

Reference: NHLBI asthma guideline updates: https://www.nhlbi.nih.gov/