QuestionSBA
QuestionChoice
This is correct. According to the British thoracic guidelines (BTS) adding in an ICS such as beclomethasone is the next management step after a short-acting beta2 agonist. These would be used in combination and the patient counselled on how and when to use them.
10027691
a
Prescribe a low dose inhaled corticosteroid (ICS)
QuestionChoice
This is incorrect. Leukotriene receptor antagonists such as Montelukast can be trialled after low-dose inhaled corticosteroids and long-acting beta-2 agonists. According to the British thoracic guidelines (BTS) adding in an inhaled corticosteroid such as beclomethasone is the next management step after a short-acting beta2 agonist.
10027694
d
Oral leukotriene receptor antagonist
QuestionChoice
This is incorrect. Although theophylline can be used in asthma management, it is not the next management step when only a beta2 agonist has been tried so far. According to the British thoracic guidelines (BTS) adding in an inhaled corticosteroid such as beclomethasone is the next management step after a short-acting beta2 agonist.
10027693
c
Oral theophylline
QuestionChoice
This is incorrect. According to the British thoracic guidelines (BTS) adding in an inhaled corticosteroid such as beclomethasone is the next management step after a short-acting beta2 agonist.
10027695
e
Add long acting beta-2 agonist
QuestionChoice
This is incorrect. Although the patient states their asthma is well managed they are still having to use their salbutamol inhaler several times a week and are experiencing nocturnal symptoms. Therefore a low dose inhaled corticosteroid inhaler should be added.
10027692
b
Review in 6 months
Concept
Chapter
2693
4228
Treatment options in Asthma
Topic
189
Respiratory Pharmacology
17936
A 19 year old male patient presents to the GP for an asthma review. They were diagnosed with the condition at the age of 15 and the only medication they take is a salbutamol inhaler. They feel it is well-controlled and have never been admitted to hospital because of their asthma.

The patient reports using their salbutamol inhaler 5 times a week before football practice and waking up one night a week with a tight chest.

Which of the following is the best next step in the management of this patient?
a