A 9-year-old boy with asthma has daytime symptoms three times per week and uses his salbutamol inhaler on those days. He occasionally wakes with cough...

Question

A 9-year-old boy with asthma has daytime symptoms three times per week and uses his salbutamol inhaler on those days. He occasionally wakes with cough at night. Spirometry shows FEV₁ 80% predicted. What is the most appropriate step in his management?

Accepted Answer

Add a regular low-dose inhaled corticosteroid

Answer

Continue salbutamol only and review in 12 months

Answer

Start high-dose inhaled corticosteroid and long-acting beta₂ agonist

Answer

Begin long-term oral corticosteroids

Answer

Stop all inhalers and monitor

au-amc MCQ (SBA): Paediatric asthma stepwise management

A 9-year-old boy with asthma has daytime symptoms three times per week and uses his salbutamol inhaler on those days. He occasionally wakes with cough at night. Spirometry shows FEV₁ 80% predicted. What is the most appropriate step in his management?