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Persistent asthma controller — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Persistent asthma controllerUSMLE Step 3

A 10-year-old boy returns after two asthma exacerbations requiring oral steroids in 6 months. He uses albuterol 3 days per week and wakes with cough twice monthly. Spirometry shows reversible obstruction. Inhaler technique is reviewed. Which of the following would you recommend at the follow-up visit?

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Correct answer: C — Start daily inhaled corticosteroid-containing controller therapy

Persistent asthma or recurrent exacerbations requires controller therapy, typically inhaled corticosteroid-containing treatment.

Reference: NIH/NHLBI clinical guidance: https://www.nhlbi.nih.gov/