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Problem
Tobias McTavish (pronouns he/him/his), 22 years old, presents with complaints of episodic chest tightness and shortness of breath during a primary care office visit. Reports that symptoms have increased in frequency over the last 3 years, especially during the spring season. Denies exercise intolerance, lives with a roommate who has a cat in their home, and occasionally uses e-cigarettes when out with friends. States day and nighttime symptoms occur less than 2 days/week and denies any severe symptoms over the last year. Denies any medical history or family history of respiratory disease. Denies medication use and no known drug allergies (NKDA). Physical exam results: • VS: afebrile, BP 118/70; HR 78; RR 18; Ht. 5'5"; Wt. 127 lbs.; BMI 21.1 • HEENT: unremarkable • Lungs: symmetrical lung expansion, no use of accessory muscles, mild-end-expiratory wheezing auscultated in right and left upper lobes; lung bases clear bilaterally. • Heart: S1 and S2 audible with RRR; no murmur, extra heart sounds and Gallup noted • Abdomen: unremarkable • Musculoskeletal: unremarkable NP orders a spirometry diagnostic test. Get the instant assignment help. Which is the most effective prevention strategy for Tobias diagnosed with intermittent asthma?
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