A 9-year-old boy has cough and wheeze 3 nights per month and uses albuterol 3 days weekly. Spirometry is normal between episodes. He has had no

Question

A 9-year-old boy has cough and wheeze 3 nights per month and uses albuterol 3 days weekly. Spirometry is normal between episodes. He has had no hospitalizations and inhaler technique is appropriate. Which of the following is the most appropriate next step in management?

Accepted Answer

Start daily low-dose inhaled corticosteroid therapy

Answer

Start daily oral prednisone

Answer

Use scheduled albuterol four times daily

Answer

Start long-term azithromycin prophylaxis

Answer

Refer for bronchoscopy

Mild persistent asthma — USMLE Step 3 MCQ

A 9-year-old boy has cough and wheeze 3 nights per month and uses albuterol 3 days weekly. Spirometry is normal between episodes. He has had no hospitalizations and inhaler technique is appropriate. Which of the following is the most appropriate next step in management?