A 40-year-old teacher presents with a 3-week history of a persistent dry cough, worse at night and after exposure to cold air or exercise. He has a hi...

Question

A 40-year-old teacher presents with a 3-week history of a persistent dry cough, worse at night and after exposure to cold air or exercise. He has a history of childhood eczema. There are no other respiratory symptoms and his chest is clear on auscultation. Spirometry is normal. What is the most appropriate next step to confirm suspected asthma?

Accepted Answer

Peak flow diary for 2-4 weeks

Answer

Empirical trial of salbutamol inhaler

Answer

Referral for formal lung function tests including reversibility

Answer

Chest X-ray

Answer

Methacholine challenge test

ukmla MCQ (SBA): Asthma Diagnosis