Question

A 27-year-old man with a 5-year history of asthma uses a salbutamol inhaler several times per week for symptoms and nocturnal awakenings twice monthly. He is not on any controller medication. Spirometry confirms reversible airflow obstruction. According to Canadian Thoracic Society guidance, what is the most appropriate next step in management?

Accepted Answer

Start a daily inhaled corticosteroid or an inhaler that combines inhaled corticosteroid with formoterol

Answer

Continue salbutamol as needed with no controller therapy

Answer

Start as-needed salbutamol plus montelukast

Answer

Start long-acting beta agonist monotherapy

Answer

Start oral prednisone 5 mg daily long term

Practice question