A 25-year-old male patient presents with 6 months history of episodic dyspnea. The episodes occur 3 times per week and are accompanied by cough. It also wakes him from sleep 3 times per month. He had asthma as a child. His chest examination showed bilateral wheeze Spirometry showed FEV1 73% and FVC 93%. He has 20% improvement if his FEV1 after bronchodilators What is the most appropriate next step in management?
سؤال مجاني 9 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Albuterol with low dose inhaled steroids
He has persistent asthma and is on no controller, so he needs an ICS-containing regimen: SABA plus low-dose inhaled steroid. A LABA must never be given without an ICS, which rules out options B and C. Albuterol alone does not address persistent disease, and oral steroids are reserved for severe disease.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Albuterol (SABA) alone is not enough: new guidelines say a SABA should not be given without an ICS.
✓ Pulmonology 🫁.pdf · p. 6 -
B
ليش غلط
A LABA must never be given first or without an ICS.
✓ Pulmonology 🫁.pdf · p. 6 -
C
ليش غلط
Albuterol plus a LABA still has no ICS, and a LABA should never be given first or without an ICS.
✓ Pulmonology 🫁.pdf · p. 6 -
D
ليش صح
Persistent asthma without a controller needs an ICS: the protocol is a SABA plus low-dose ICS, since a SABA should not be given without ICS.
✓ Pulmonology 🫁.pdf · p. 6 -
E
ليش غلط
Oral steroids are reserved for severe, persistent asthma, not for this first treatment.
✓ Step Up To Medicine 6th Edition 2024 (Asthma).pdf · p. 4
- المصدر
- Asthma & asthma exacerbation.pdf · p. 7
Pulmonology 🫁.pdf · p. 6 - المحاضرة
- Asthma · Pulmonology · Module B
- ظهر في
- Respi bank