Q108)
Question:
An asthmatic patient has been on Ventolin (albuterol) as needed and Beclomethasone twice daily. Despite this, the patient continues to have exacerbations. What is the next step in management?
Options:
A) Increase the dose of Beclomethasone
B) Add Salmeterol
C) Switch to Fluticasone
D) Increase the frequency of Ventolin
E) Add a long-acting anticholinergic
Correct Answer: B) Add Salmeterol
Explanation: Adding Salmeterol, a long-acting beta-agonist (LABA), to the patient’s regimen is the next appropriate step. This combination with an inhaled corticosteroid (like Beclomethasone) is more effective at controlling asthma symptoms and preventing exacerbations than an inhaled corticosteroid alone.
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