Question

A 38-year-old with moderate persistent asthma has frequent SABA use and nighttime awakenings despite low-dose ICS. Which step-up controller strategy is preferred?

Accepted Answer

Use budesonide-formoterol as both maintenance and reliever (SMART)

Answer

Add montelukast and continue SABA PRN

Answer

Switch to high-dose ICS plus SABA PRN

Answer

Add tiotropium and continue ICS-SABA

Answer

Start theophylline at bedtime

Practice question

A 38-year-old with moderate persistent asthma has frequent SABA use and nighttime awakenings despite low-dose ICS. Which step-up controller strategy is preferred?