Asthma🫁

Question 1

Add on therapy for step-5

Patient has severe allergic asthma:

Answer 1

Use anti-IgE SC Omalizumab

Question 2

Add on therapy for step-5

For pateint with history of Exacerbations

Answer 2

Use LAMA Tiotropium

Question 3

Add on therapy for step-5

For patient with severe Esionophilic asthma;

Answer 3

Use anti-IL5 SC Mepolizumab

Question 4

Add on therapy for step-5

For patients with severe asthma;

Answer 4

Use Reslizumab IV added to Mepolizumab SC

Question 5

Add on therapy for step-5

For pateint with chronic rhinosinusitits with nasal polyposis— Atopic dermatitis ;

Answer 5

Use Dupilumab anti-IL4R

Question 6

What is the benefit of using Azithromycin in step-5?

Answer 6

In step-5 we use high dose of ICS-Formterol so it redeces the occurrence of Exacerbation.

Question 7

Which medication has a black box of serious neuropsychiatric events?

Answer 7

LTRA— Monetelukast

Question 8

What do we need to check Before starting long term therapy with corticosteroids ( more than 2 weeks)??

Answer 8

HTN,DM,ELECTROLYTES,LUNG INFECTION LIKE TUBERCULOSIS, HERAT FUNACTION,KIDNEY FUNCTION.

Question 9

If patient taking OCS what to advice him about his diet?

Answer 9

Rich diet of protein,k,ca

Low diet of Na

Question 10

Pateint having Exacerbation even with using the ICS and having HDM-sensitive
FEV1 predicted is 70% and have allergic rhinitis:
Them
Then what to use?

Answer 10

NEW THERAPY:

SLIT —sublingual immunotherapy