NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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What is the course of action if asthma is well-controlled at each follow-up visit?

Maintain current step
Step up 1 step
Step down treatment
Both A and C

The correct answer is: Both A and C

If asthma is well-controlled at each follow-up visit, the current treatment plan should be maintained to continue achieving and maintaining control. However, if the patient's asthma remains well-controlled for several follow-up visits, the treatment plan may need to be adjusted and stepped down to a lower level to prevent any potential side effects from long-term use of high-dose medications. Option A and C are incorrect because only maintaining the current step or only stepping down treatment may not be appropriate for long-term management of well-controlled asthma. Option B of stepping up 1 step would not be necessary if asthma is already well-controlled. Overall, option D encompasses the appropriate course of action, which is to maintain current treatment while also considering the option to step down if asthma remains well-controlled.