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رجوع لأسئلة Asthma 13 / 24
B-208 مطابق للمصدر

A 25-year-old woman comes to the physician for asthma management. Her asthma began in childhood and had been well controlled on moderate dose mometasone. She recently developed nocturnal awakening with cough and wheezing. She has been using her rescue albuterol 2-3 times a week at night. She also has occasional heartburn at night after eating too late but denies regurgitation or dysphagia. Her roommate told her that she occasionally snores at night. Her vital signs are within normal limits and her BMI is 26 kg/m2. There is no retrognathia. Lungs are clear to auscultation. Pulmonary function testing shows FEV1 of 72% predicated and FEV1/FVC ratio of 0.65. There is a moderate response to bronchodilators. Complete blood count is unremarkable. Which of the following is the best next step in management of this patient?

سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد

اعرض الإجابة

الإجابة والشرح

ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.

الإجابة: D. Start long-acting beta agonist

✓ مطابق للمصدر Asthma & asthma exacerbation.pdf · p. 7

She is uncontrolled on ICS alone, with nocturnal waking more than once a week and FEV1 72% showing reversible obstruction. The next step is to add a LABA (ICS-LABA, the step-3 option). Her heartburn is only occasional, with no regurgitation, so asthma control is the priority over a PPI trial or pH testing. Theophylline is not routinely used because of toxicity.

المصدر
Asthma & asthma exacerbation.pdf · p. 7
Asthma and COPD.pdf · p. 4
المحاضرة
Asthma · Pulmonology · Module B
ظهر في
Respi bank
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