ACTUAL TEST BANK QUESTIONS
SOLUTIONS GRADED A PLUS PREMIUM
STUDY RESOURCE
●● What triggers asthma?
Answer: Allergens, exercise, cold air, infections, smoke, occupational
irritants
●● What are classic asthma symptoms?
Answer: Wheezing, SOB, cough (worse at night), chest tightness
●● What are physical exam findings in asthma?
Answer: Expiratory wheezing, prolonged expiration, decreased breath
sounds (severe = silent chest)
●● What diagnostics confirm asthma?
Answer: Spirometry → reversible obstruction (↑ FEV1 after
bronchodilator)
●● What are common differential diagnoses for asthma?
Answer: COPD, GERD, heart failure, vocal cord dysfunction,
pneumonia
, ●● What is the foundation of asthma treatment?
Answer: Inhaled corticosteroids (ICS) for ALL patients
●● When do you STEP UP asthma therapy?
Answer: Poor control → frequent symptoms, nighttime awakenings,
reliever use >2x/week
●● When do you STEP DOWN therapy?
Answer: Good control for ≥3 months
●● What must you assess BEFORE stepping up?
Answer: Adherence, inhaler technique, comorbidities, diagnosis
●● What is the first-line rescue medication for asthma?
Answer: Albuterol (SABA)
●● What is the new preferred rescue therapy?
Answer: ICS-formoterol (SMART therapy)
●● What are maintenance medications for asthma?
Answer: ICS, ICS/LABA, leukotriene receptor antagonists
(montelukast), biologics