A 36-year-old woman with moderate persistent asthma has daily symptoms and nighttime awakenings at least once per week. She uses budesonide-formoterol...

Question

A 36-year-old woman with moderate persistent asthma has daily symptoms and nighttime awakenings at least once per week. She uses budesonide-formoterol 160/4.5 µg twice daily with a short-acting beta-agonist (SABA) as needed. According to US focused updates, what reliever strategy best reduces exacerbations?

Accepted Answer

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

Answer

Continue SABA as-needed only

Answer

Add tiotropium as an as-needed reliever

Answer

Add daily montelukast and keep SABA as-needed

Answer

Switch to inhaled beclomethasone as-needed only

us-abfm MCQ (SBA): Asthma (Maintenance & Reliever)