QUESTIONS
ASTHMA (1–15)
1. A 22-year-old presents with intermittent wheezing and nighttime cough twice weekly. What is the
best initial treatment?
A. Albuterol only
B. Inhaled corticosteroid
C. LABA monotherapy
D. Oral prednisone
2. A patient uses their rescue inhaler daily. What is the next step?
A. Continue current therapy
B. Step down therapy
C. Step up therapy
D. Stop ICS
3. Which medication is NEVER used alone in asthma?
A. ICS
B. LABA
C. SABA
D. Montelukast
4. What indicates POOR asthma control?
A. SABA use once weekly
B. Night symptoms once monthly
C. SABA use >2x/week
D. No symptoms
5. What is the mechanism of ICS?
A. Bronchodilation
B. Reduce airway inflammation
C. Increase mucus
D. Block histamine
6. Which is the preferred rescue therapy per newer guidelines?
A. SABA only
B. ICS-formoterol
C. LABA alone
D. Oral steroids
, 7. Peak flow of 45% indicates:
A. Green zone
B. Yellow zone
C. Red zone
D. Normal
8. Before stepping up asthma therapy, what must be assessed?
A. Diet
B. Adherence and inhaler technique
C. Insurance
D. Family history
9. Which finding suggests severe asthma exacerbation?
A. Wheezing
B. Silent chest
C. Mild cough
D. Clear lungs
10. Which medication is used for exercise-induced asthma?
A. Montelukast
B. Antibiotics
C. Beta blockers
D. Diuretics
11. What is the hallmark of asthma on spirometry?
A. Irreversible obstruction
B. Restrictive pattern
C. Reversible obstruction
D. Normal findings
12. When should asthma therapy be stepped down?
A. After 1 week control
B. After 3 months control
C. Immediately
D. Never
13. What is a common side effect of ICS?
A. Hypertension
B. Oral thrush