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Asthma — RCPSC IM MCQ

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ModerateRespirologyAsthmaRCPSC IM

A 26-year-old woman with asthma uses salbutamol most days and wakes twice weekly with wheeze. Spirometry shows reversible airflow obstruction. She has no exacerbation today, is not pregnant, and has never used an inhaled corticosteroid-containing controller. What is the most appropriate management?

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Correct answer: D — Start inhaled corticosteroid-containing therapy, preferably an ICS-formoterol reliever/controller approach if available

Frequent symptoms indicate uncontrolled asthma and require inhaled corticosteroid-containing therapy. Short-acting beta-agonist monotherapy and LABA monotherapy increase risk and do not address airway inflammation.

Reference: Canadian Thoracic Society asthma guidance