Activity Limitation in Medicine / Internal Medicine — 31yo Woman | Respiratory / Pulmonology | SMLE Q#18432

SMLE Question #18432

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-RESP-ASTHMA-STEP3

Last updated: February 2026
A 31-year-old woman reports 3 months of daily wheeze and shortness of breath with activity limitation. She uses inhaled salbutamol most days for relief and wakes from symptoms about twice weekly. She has no comorbidities and has never smoked. Chest examination between episodes shows scattered expiratory wheeze. In addition to as-needed salbutamol, which of the following is the most appropriate controller treatment?

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