A 6-year-old boy with known asthma uses salbutamol as needed. He has daytime symptoms twice per week, night-time symptoms twice per month and no activ...

Question

A 6-year-old boy with known asthma uses salbutamol as needed. He has daytime symptoms twice per week, night-time symptoms twice per month and no activity limitation. Spirometry shows normal lung function. What is the most appropriate step in his long-term management?

Accepted Answer

Start daily low-dose inhaled corticosteroid

Answer

No controller; continue salbutamol as needed

Answer

Start daily oral prednisone

Answer

Start long-acting beta-agonist monotherapy

Answer

Start leukotriene receptor antagonist as sole controller

ca-mccqe1 MCQ (SBA): Paediatric asthma management

A 6-year-old boy with known asthma uses salbutamol as needed. He has daytime symptoms twice per week, night-time symptoms twice per month and no activity limitation. Spirometry shows normal lung function. What is the most appropriate step in his long-term management?