A 14-year-old boy with known asthma reports daytime symptoms 3-4 times per week and uses his salbutamol inhaler on most of those days. He wakes at nig...

Question

A 14-year-old boy with known asthma reports daytime symptoms 3-4 times per week and uses his salbutamol inhaler on most of those days. He wakes at night with cough twice per month and has had one mild exacerbation in the last year requiring oral steroids. He is currently using only a salbutamol metered-dose inhaler as needed. According to Canadian Thoracic Society asthma guidelines, what is the most appropriate controller strategy?

Accepted Answer

Start a daily low-dose inhaled corticosteroid

Answer

Continue salbutamol as needed only

Answer

Start a leukotriene receptor antagonist alone

Answer

Start chronic oral prednisone at low dose

Answer

Use long-acting beta2-agonist alone as controller

ca-mccqe1 MCQ (SBA): Asthma - initiation of controller therapy