Facharzt FMH Pneumologie Practice Questions - Facharzt FMH Für Pneumologie Spécialiste FMH En Pneumologie Exam

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A 34-year-old woman with moderate persistent asthma presents for regular follow-up. She experiences daytime wheezing and dyspnea 3 to 4 days per week and wakes up coughing once a week. She currently uses low-dose inhaled budesonide (200 mcg twice daily) and as-needed salbutamol. According to the Global Initiative for Asthma (GINA) Track 1 recommendations, what is the most appropriate management step?

Switch to low-dose budesonide-formoterol as both daily maintenance and as-needed reliever (MART strategy) Double the dose of budesonide to 400 mcg twice daily and continue as-needed salbutamol Add an oral leukotriene receptor antagonist (montelukast 10 mg daily) and maintain SABA monotherapy for relief Initiate maintenance long-acting muscarinic antagonist (tiotropium Respimat) while stopping inhaled corticosteroids

Correct Answer:

Switch to low-dose budesonide-formoterol as both daily maintenance and as-needed reliever (MART strategy)

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