Primary membranous nephropathy — ABIM Board MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Use budesonide-formoterol as needed within the daily dose limit
The best answer is “Use budesonide-formoterol as needed within the daily dose limit”. SMART uses ICS-formoterol for both scheduled maintenance and rapid relief because formoterol has a rapid onset. The same inhaler may therefore be used for breakthrough symptoms within regimen-specific dose limits. Salmeterol and tiotropium are not rescue agents, and withholding maintenance doses undermines control.
Reference: NHLBI 2020 Focused Updates to the Asthma Management Guidelines: https://www.nhlbi.nih.gov/sites/default/files/publications/AsthmaManagementGuidelinesReport-2-4-21.pdf