Question

A 48-year-old with poorly controlled moderate asthma has frequent SABA use and nighttime awakenings. He is on low-dose ICS taken inconsistently. Best controller/reliever strategy to reduce exacerbations?

Accepted Answer

Switch to ICS-formoterol as both maintenance and reliever (SMART)

Answer

Continue current low-dose ICS and add scheduled ipratropium

Answer

Use SABA before exercise only

Answer

Start daily oral prednisone 10 mg

Answer

Switch to montelukast alone

Practice question

A 48-year-old with poorly controlled moderate asthma has frequent SABA use and nighttime awakenings. He is on low-dose ICS taken inconsistently. Best controller/reliever strategy to reduce exacerbations?