Significant Reversibility in Medicine / Internal Medicine — 24yo Woman | Respiratory / Pulmonology | SMLE Q#11054
SMLE Question #11054
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 24-year-old woman attends an outpatient clinic for asthma follow-up. Over the past month, she has wheeze and cough on two days per week, uses an albuterol inhaler twice weekly, and wakes from symptoms twice per month. She has no activity limitation and no recent exacerbations. Examination between episodes is normal. Spirometry shows FEV1 78% predicted with significant reversibility after bronchodilator. She currently uses only an as-needed short-acting beta2-agonist. What is the most appropriate next step in management?
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