Wheeze About Twice Per in Medicine / Internal Medicine — 33yo Woman | Respiratory / Pulmonology | SMLE Q#11124
SMLE Question #11124
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 33-year-old woman has 6 months of recurrent cough, chest tightness, and shortness of breath triggered by house dust and strong perfumes. She awakens with wheeze about twice per week and uses inhaled salbutamol on most days despite correct technique and adherence. Examination between attacks shows occasional scattered expiratory wheezes. Spirometry shows reversible airflow obstruction with a 15% increase in FEV1 after bronchodilator. Which medication should be initiated in addition to her as-needed inhaled salbutamol?
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