4-H Livestock Skillathon Practice Exam

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An 11-year-old boy presents to the clinic with wheezing. He uses an albuterol inhaler PRN, which provides relief. He experiences shortness of breath three days a week and is awakened at night by symptoms once a week. What is the most appropriate long-term management step?

Continue albuterol PRN only Add a daily low-dose inhaled corticosteroid Add a daily long-acting beta-agonist (LABA) monotherapy Add daily oral prednisone

Correct Answer:

Add a daily low-dose inhaled corticosteroid

Explanation:

This patient has mild persistent asthma (symptoms >2 days/week but not daily, and nighttime awakenings 1-2 times/month up to once a week). The preferred step-up therapy is a low-dose inhaled corticosteroid.

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