1|Page
ABFM KSA ASTHMA EXAM || MOST RECENT EXAM
ACTUAL COMPLETE REAL VERIFIED EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM!!!
A 14-year-old female with a history of asthma presents to
your office for follow-up. Her mother reports that the
patient has become increasingly agitated during the day
and has frequent nightmares, which she never had before.
When asking about any other changes to her routine,
family stressors, or medication changes you learn that she
was seen by an allergy specialist 2 months ago and was
given a new prescription to help with her asthma
management. Her mother cannot recall the name of this
new medication and it is not in your electronic medical
record.
Which one of the following asthma medications is most
likely to have precipitated these symptoms? - Answer-D.
Montelukast (Singulair)
A 35-year-old male who was admitted to the intensive-care
unit with a severe asthma exacerbation has failed to
improve with aggressive bronchodilator therapy and
systemic corticosteroid therapy. For the past 10 minutes
,2|Page
he has appeared more fatigued, but less wheezing is
heard and his pulsus paradoxus, which had been 30 mm
Hg, is <10 mm Hg. His pO2 is 75 mm Hg and his pCO2 is
48 mm Hg on 6 L/min of oxygen.
Which one of the following interventions would be the
most appropriate next step in the management of this
patient? - Answer-E. Intubation and Mechanical Ventilation
A 24-year-old female has a long history of asthma, which
was previously categorized as mild persistent. In the last
several months she has noted daily symptoms, with
nighttime awakening once or more each week, each
requiring use of a short-acting β-agonist rescue inhaler.
She is also using a low-dose inhaled corticosteroid twice
daily. You determine that it is time to step up her therapy to
include a long-acting β-agonist (LABA).
When counseling this patient about the use of LABAs,
which one of the following would be appropriate advice? -
Answer-D. They are beneficial when used in conjunction
with inhaled corticosteroids
A 25-year-old female with a history of mild persistent
asthma presents to the emergency department with a 5-
day history of increasing cough, wheezing, and shortness
of breath. Her asthma regimen of daily inhaled
, 3|Page
corticosteroids has not changed recently, and she has not
recently taken systemic corticosteroids. On examination
she is slightly agitated with a pulse rate of 110 beats/min.
Examination of the lungs reveals loud expiratory wheezing
on auscultation, and you observe that she has
suprasternal retractions. Her FEV1 is 1.71 L (63% of
predicted) and her oxygen saturation is 94% on room air.
Which one of the following would be the most appropriate
next step in the management of this patient? - Answer-B.
An inhaled short-acting β-agonist, with up to three
treatments in the first hour
A 47-year-old female with moderate severe asthma
presents with a recent history of more frequent
exacerbations now accompanied by expectoration of
brown mucus plugs, intermittent fever, and increasing
fatigue. She is afebrile today and her wheezing is minimal.
A chest radiograph shows opacities in the parenchyma of
the upper lobes, with evidence of atelectasis.
Which one of the following is true regarding the diagnosis
of this condition? - Answer-B. Laboratory evaluation will
show a total serum IgE concentration >1000 ng/mL (N 0-
430)
ABFM KSA ASTHMA EXAM || MOST RECENT EXAM
ACTUAL COMPLETE REAL VERIFIED EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM!!!
A 14-year-old female with a history of asthma presents to
your office for follow-up. Her mother reports that the
patient has become increasingly agitated during the day
and has frequent nightmares, which she never had before.
When asking about any other changes to her routine,
family stressors, or medication changes you learn that she
was seen by an allergy specialist 2 months ago and was
given a new prescription to help with her asthma
management. Her mother cannot recall the name of this
new medication and it is not in your electronic medical
record.
Which one of the following asthma medications is most
likely to have precipitated these symptoms? - Answer-D.
Montelukast (Singulair)
A 35-year-old male who was admitted to the intensive-care
unit with a severe asthma exacerbation has failed to
improve with aggressive bronchodilator therapy and
systemic corticosteroid therapy. For the past 10 minutes
,2|Page
he has appeared more fatigued, but less wheezing is
heard and his pulsus paradoxus, which had been 30 mm
Hg, is <10 mm Hg. His pO2 is 75 mm Hg and his pCO2 is
48 mm Hg on 6 L/min of oxygen.
Which one of the following interventions would be the
most appropriate next step in the management of this
patient? - Answer-E. Intubation and Mechanical Ventilation
A 24-year-old female has a long history of asthma, which
was previously categorized as mild persistent. In the last
several months she has noted daily symptoms, with
nighttime awakening once or more each week, each
requiring use of a short-acting β-agonist rescue inhaler.
She is also using a low-dose inhaled corticosteroid twice
daily. You determine that it is time to step up her therapy to
include a long-acting β-agonist (LABA).
When counseling this patient about the use of LABAs,
which one of the following would be appropriate advice? -
Answer-D. They are beneficial when used in conjunction
with inhaled corticosteroids
A 25-year-old female with a history of mild persistent
asthma presents to the emergency department with a 5-
day history of increasing cough, wheezing, and shortness
of breath. Her asthma regimen of daily inhaled
, 3|Page
corticosteroids has not changed recently, and she has not
recently taken systemic corticosteroids. On examination
she is slightly agitated with a pulse rate of 110 beats/min.
Examination of the lungs reveals loud expiratory wheezing
on auscultation, and you observe that she has
suprasternal retractions. Her FEV1 is 1.71 L (63% of
predicted) and her oxygen saturation is 94% on room air.
Which one of the following would be the most appropriate
next step in the management of this patient? - Answer-B.
An inhaled short-acting β-agonist, with up to three
treatments in the first hour
A 47-year-old female with moderate severe asthma
presents with a recent history of more frequent
exacerbations now accompanied by expectoration of
brown mucus plugs, intermittent fever, and increasing
fatigue. She is afebrile today and her wheezing is minimal.
A chest radiograph shows opacities in the parenchyma of
the upper lobes, with evidence of atelectasis.
Which one of the following is true regarding the diagnosis
of this condition? - Answer-B. Laboratory evaluation will
show a total serum IgE concentration >1000 ng/mL (N 0-
430)
