🏥 USMLE Exam Prep

A 28-year-old patient with asthma reports using her albuterol inhaler almost daily and experiences nocturnal symptoms approximately three times a week. She denies any emergency department visits or hospitalizations for asthma. What is the most appropriate next step in her asthma management?

A Increase the dose of her albuterol inhaler
B Add a long-acting beta-agonist (LABA)
C Start a low-dose inhaled corticosteroid (ICS)
D Prescribe a course of oral corticosteroids

✓ Correct Answer: Option C

This patient exhibits symptoms of persistent asthma (daily SABA use, nocturnal symptoms >2x/week), indicating her asthma is not well controlled with SABA alone. The next step is to add a low-dose inhaled corticosteroid as controller therapy.

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