Only Temporary Relief in Medicine / Internal Medicine — 17yo Child | Respiratory / Pulmonology | SMLE Q#16725
SMLE Question #16725
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 17-year-old boy has 6 months of recurrent wheeze and shortness of breath about twice weekly, triggered by exercise and dust. He has a dry nocturnal cough 2–3 times per month. Over the past month, he has used inhaled salbutamol almost daily with only temporary relief. Spirometry previously showed reversible airflow limitation. Chest examination between episodes is unremarkable. What is the most appropriate next step in management to improve his long-term asthma control?
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