A 28-year-old woman presents with recurrent episodes of wheezing, chest tightness, and cough, particularly at night and after exercise. Spirometry sho...

Question

A 28-year-old woman presents with recurrent episodes of wheezing, chest tightness, and cough, particularly at night and after exercise. Spirometry shows an FEV1/FVC ratio of 65% which improves by 15% after salbutamol administration. What is the most appropriate initial maintenance therapy?

Accepted Answer

Fluticasone propionate inhaler 100mcg two puffs twice daily

Answer

Oral prednisolone 40mg daily

Answer

Montelukast 10mg once daily

Answer

Salbutamol inhaler 100mcg two puffs as required

Answer

Tiotropium inhaler 18mcg once daily

ukmla MCQ (SBA): Asthma

A 28-year-old woman presents with recurrent episodes of wheezing, chest tightness, and cough, particularly at night and after exercise. Spirometry shows an FEV1/FVC ratio of 65% which improves by 15% after salbutamol administration. What is the most appropriate initial maintenance therapy?