A 24-year-old woman with a history of atopy presents with episodic wheeze and nocturnal cough. Spirometry confirms reversible airflow obstruction. She...

Question

A 24-year-old woman with a history of atopy presents with episodic wheeze and nocturnal cough. Spirometry confirms reversible airflow obstruction. She reports using salbutamol four times per week and waking with asthma symptoms twice per month. According to Canadian asthma guidelines, which controller strategy is preferred?

Accepted Answer

Low-dose inhaled corticosteroid taken regularly

Answer

Short-acting salbutamol as needed only

Answer

Oral montelukast monotherapy

Answer

Intermittent oral prednisone during flares only

Answer

No regular controller; reassure and discharge

ca-mccqe1 MCQ (SBA): Asthma management