9 board-style questions on asthma in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 34-year-old man with mild persistent asthma currently uses albuterol as needed. His symptoms have been well controlled with this approach, but he now reports needing his rescue inhaler 3-4 times per week. He has no nighttime awakenings and his FEV1 is 82% predicted. According to current NAEPP stepwise therapy guidelines, what is the most appropriate next step in management?
A 25-year-old woman presents with wheezing and shortness of breath occurring 3-4 days per week for the past 2 months. She wakes at night with coughing approximately twice per month. She currently uses an albuterol inhaler about 3 times per week with good relief. Spirometry shows an FEV1 of 85% predicted with a 14% improvement after bronchodilator administration. What is the most appropriate next step in management?
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