ABFM KSA ASTHMA QUES TIONS AND
ANSWERS GRADED A+
Question : PT HAS MODERATE PERSISTENT ASTHMA
WAKES UP WITH NIGHT TIME SX
WEEKLY
WHAT MEDS SHOULD SHE BE ON
Correct Answer: MODERATE PERSISTENT ASTHMA
STAGE 3
3 MEDS
ALBUTEROL
ICS + LABA
Question : PT SUSPECTED OF HAVING
EXERCISE INDUCED ASTHMA
Baseline pulmonary function testing reveals an FEV1= of 3.1 L
IF PFT IS DONE AFTER EXERCISE
WHAT measurements OF FEV1 after exercise would support a diagnosis ofexercise-induced bronchospasm?
Correct Answer: FEV1 <2.5
Question : 15% decrease in FEV1
after exercise is COMPATIBLE WITH DIAGNOSIS OF
Correct Answer: EXERCISE INDUCE ASTHMA
Question : Airflow obstruction is defined as an FEV1
/FVC ratio
LESS THAN
70%.
Correct Answer:
Question : Airway REVERSIBILITY is defined as
an increase in FEV1 or FVC
BY HOW MUCH
Correct Answer: 12%
Question : WHICH ASTHMA MEDS ARE ASSOCIATED
WITH BONE LOSS
Correct Answer: BOTH INHALED
AND ORAL
CORTICOSTEROIDS
Question : WHAT IS
most common acid/base abnormality in the early stages of an asthma exacerbation?
Correct Answer: RESPIRATORY ALKALOSIS
HYPERVENTILATION
LOW CO2= HIGH PH- ALKALOSIS
Question : WHICH ASTHMA MEDICATION
most effective asthma agent for preventing exacerbations,
Correct Answer: ICS
Question : WHAT IS TX OF CHOICE FOR
aspirin-induced asthma
Correct Answer: LEUKOTRIENCE INHIBITORS
Montelukast
Question : PT WITH ASTHMA LIKE SX
+
RHINITIS
+
NASAL POLYPS
TOW
Correct Answer: ASPIRIN INDUCED ASTHMA
Question : WHICH NSAID CAN BE USED INSTEAD OF
ASPIRIN
IN PT WITH
ASPIRIN INDUCED ASTHMA
Correct Answer: SALSALATE
CAN ALSO
USE
TYLENOL
Question : PT ADMITTED FOR ASTHMA
EXACERBATION
According to National Asthma Education and Prevention Program guidelines, hospital discharge can be considered in this patient
once the peak flow rate rises above a threshold of