NBME 4 Question - goatmilk

[ArchivalUser]

3-17) 22yo F with asthma. Treated for six acute episodes of wheezing and nonproductive cough during the past year. Last episode 1 mo ago. Sx exacerbated when outside during the spring and fall. On albuterol inhaler. Smoked daily for 5 years. X-ray of the chest normal. Which will reduce frequency of exacerbations?
A) Change in work environment
B) Desensitization to animal dander
C) Fluticasone inhaler therapy (correct answer)
D) Haemophilus influenzae type b vaccine
E) Influenza vaccine
F) 23-Valent pneumococcal vaccine

Why can't the answer be Influenza vaccine??

[ArchivalUser]

anyone??

[ArchivalUser]

The albuterol clearly isn't enough for her asthma symptom since she has exacerbations. So to reduce the frequency you add inhaled steroid . Regardless she should receive influenza vaccine yearly just like every one else too.