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Comparison of GINA Tracks 1 and 2 for Asthma Management

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Comparison of GINA Tracks 1 and 2 for Asthma Management

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Questions and Answers

Which of the following is the treatment of first choice for managing acute severe asthma?

Leukotriene modifiers

Anticholinergics

SABAs (e.g., albuterol) (correct)

Corticosteroids

What is the advantage of aerosol administration of β2-agonists over systemic administration?

Enhanced bronchoselectivity and more rapid response (correct)

Slower action

Delayed response

Decreased bronchoselectivity

What is the key advantage of ICS (inhaled corticosteroids) over other therapies for persistent asthma?

Faster onset of action

Reduced risk of systemic toxicity

Ability to treat acute exacerbations

Reduced risk of dying from asthma (correct)

What is a potential local adverse effect of using high-dose ICS?

Oropharyngeal candidiasis and dysphonia Signup and view all the answers

When are systemic corticosteroids indicated in the treatment of acute severe asthma?

In all patients not responding completely to initial inhaled β2-agonist administration, and should be administered within 1 hour of presentation Signup and view all the answers

What is the preferred treatment according to GINA guidelines for adults and adolescents with asthma?

Using Single Maintenance and Reliever Therapy (SMART) with ICS-formoterol Signup and view all the answers

Which treatment significantly reduces the risk of severe exacerbation compared to using a short-acting β2 agonist reliever?

Single Maintenance and Reliever Therapy (SMART) with ICS-formoterol Signup and view all the answers

When should low-dose maintenance oral corticosteroids be considered for asthma treatment?

If no other options are available, as a last resort Signup and view all the answers

What should be done once good asthma control has been achieved and maintained for 2-3 months?

Gradually step down treatment to find the patient's lowest effective dose Signup and view all the answers

What is included in the primary therapy for acute asthma exacerbations?

Administering systemic corticosteroids and inhaled ipratropium Signup and view all the answers