A 26-year-old with moderate persistent asthma has two exacerbations in 6 months despite adherence to low-dose ICS (beclomethasone 80 µg BID) plus as-n...

Question

A 26-year-old with moderate persistent asthma has two exacerbations in 6 months despite adherence to low-dose ICS (beclomethasone 80 µg BID) plus as-needed SABA. According to 2020 updates, the preferred next step is:

Accepted Answer

Switch to single-inhaler low- or medium-dose ICS-formoterol used for both maintenance and reliever (SMART)

Answer

Add a long-acting muscarinic antagonist as controller

Answer

Add a leukotriene receptor antagonist and continue SABA

Answer

Keep regimen and add chronic oral prednisone 5 mg daily

Answer

Switch to as-needed SABA only

us-abem MCQ (SBA): Asthma (Step-Up Therapy)

A 26-year-old with moderate persistent asthma has two exacerbations in 6 months despite adherence to low-dose ICS (beclomethasone 80 µg BID) plus as-needed SABA. According to 2020 updates, the preferred next step is: