Question

A 22-year-old with moderate persistent asthma has 2 nighttime awakenings/week and two exacerbations requiring oral steroids this year. Which controller approach is preferred?

Accepted Answer

Single maintenance and reliever therapy (SMART) with ICS-formoterol

Answer

Increase to high-dose ICS alone with albuterol PRN

Answer

Add tiotropium to low-dose ICS with albuterol PRN

Answer

Fixed-dose ICS/LABA twice daily with albuterol PRN

Answer

Leukotriene receptor antagonist monotherapy

Practice question

A 22-year-old with moderate persistent asthma has 2 nighttime awakenings/week and two exacerbations requiring oral steroids this year. Which controller approach is preferred?