Cough About Once Weekly in Medicine / Internal Medicine — 31yo Woman | Respiratory / Pulmonology | SMLE Q#12124

SMLE Question #12124

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 31-year-old woman has daily wheeze and shortness of breath that limits activities several times weekly. She wakes with cough about once weekly. She has never smoked and has no comorbidities. Exam between episodes is normal. Spirometry shows FEV1 70% predicted with significant bronchodilator reversibility. She is given an as-needed short-acting beta-2 agonist for symptom relief. Which controller therapy should be started now?

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