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  #1  
Old 01-20-2013
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Lungs Categorize this Asthma and Manage?

A 30-year-old man has episodes of wheezing and shortness of breath two to three times per week. Approximately every 2 weeks he awakens at night due to cough and diffi culties breathing. He reports having similar symptoms since he was a child, but believes that they are worsening somewhat now. His symptoms are worsened by cold air and exercise and are improved by rest. Which of the following is the most appropriate
treatment?
(A) Daily high-dose inhaled corticosteroid and β-agonist when needed
(B) Daily high-dose inhaled corticosteroid with oral steroids for exacerbations and short-acting β-agonist when needed
(C) Daily low-dose inhaled corticosteroid and short-acting β-agonist when needed
(D) Daily oral steroids and long-acting β-agonist
(E) Short-acting β-agonist when needed
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  #2  
Old 01-20-2013
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(C) Daily low-dose inhaled corticosteroid and short-acting β-agonist when needed for Mild persistent Asthma.
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Old 01-20-2013
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Agreed... C
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Old 01-20-2013
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yup....C is my choice too
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Old 01-20-2013
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Ans C
Day attach <2/week + night attach <2 month= SABA
Day attach >2/week + night attach >2 month= SABA + low dose ICS
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Old 01-21-2013
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The correct answer is C. This patient has mild
persistent asthma
, defined as daytime symptoms
two or more times per week and nighttime
symptoms as often as once every 2 weeks.
The most appropriate treatment choice for
mild persistent asthma is a daily inhaled corticosteroid
with a short-acting β2-agonist as
needed, although recent studies show that the
inhaled corticosteroid may be equally effective
if taken only in relation to symptoms.
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