NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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At which step of the asthma treatment algorithm should one start if symptoms are daily, waking at night is more than or equal to once a week, or the initial presentation is with an exacerbation?

  1. Step 3

  2. Step 4

  3. Step 5

  4. Step 2

The correct answer is: Step 4

In asthma treatment, the steps of the treatment algorithm are based on the severity of symptoms and the level of asthma control. Step 4 of the asthma treatment algorithm is recommended when symptoms are daily, waking at night is more than or equal to once a week, or when the initial presentation is with an exacerbation. At this step, medium-dose inhaled corticosteroids with a long-acting beta-agonists (LABA) are usually recommended as the initial controller therapy for asthma. Therefore, starting treatment at Step 4 in this scenario aligns with the guidelines for managing asthma in patients with these specific symptoms and presentation.