Moderate Persistent Asthma Has in Pediatrics — 7yo Child | Pediatric Respiratory | SMLE Q#794
SMLE Question #794
Pediatrics
Pediatric Respiratory
Last updated: February 2026
A 7-year-old boy with moderate persistent asthma has 3 days of worsening cough and wheeze despite frequent salbutamol metered-dose inhaler via spacer with only brief relief. He has had nighttime symptoms and reduced activity. On exam, he has diffuse expiratory wheeze with mild accessory muscle use and can speak full sentences. There is no fever or focal chest signs. After addressing inhaler technique and adherence, his symptoms remain poorly controlled. What is the most appropriate next step in long-term management to improve control?
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