A 34-year-old woman with asthma has daily symptoms and wakes twice weekly despite low-dose inhaled corticosteroid. Spirometry shows obstruction with

Question

A 34-year-old woman with asthma has daily symptoms and wakes twice weekly despite low-dose inhaled corticosteroid. Spirometry shows obstruction with bronchodilator response, and inhaler technique is appropriate. Which of the following is the most appropriate next step?

Accepted Answer

Add low-dose ICS-formoterol maintenance and reliever therapy

Answer

Start long-term theophylline first

Answer

Use antibiotics after each wheeze

Answer

Begin chronic oral prednisone

Answer

Stop controller therapy

Moderate persistent asthma — ABFM Board MCQ

A 34-year-old woman with asthma has daily symptoms and wakes twice weekly despite low-dose inhaled corticosteroid. Spirometry shows obstruction with bronchodilator response, and inhaler technique is appropriate. Which of the following is the most appropriate next step?