A 9-year-old boy presents to your clinic with discoloration under his eyes, persistent cough, and skin rashes. He is found to have wheezing on physical exam and increased lung volume bilaterally on chest x-ray. He has struggled with these complaints over the past three years but recently his symptoms have gotten worse, affecting him every other day. He is afebrile. He is found to have wheezing on physical exam and increased lung volume bilaterally on chest x-ray. What would be the most appropriate treatment for him?

Short-acting beta agonist PRN with low-dose inhaled corticosteroid

Explanation:

Since the cough is wheezing and persistent and it affects the patient mostly everyday with symptoms occurring up to 3 to 4 days in a week, these are consistent with Asthma, but the mild persistent type. Such type of asthma is better treated with short-acting beta agonist PRN and low dose inhaled corticosteroid. Other signs of atopy are skin rash and swelling under the eyes as stated in the question.

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the correct answer is d