1|Page
ASTHMA KSA EXAM 2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK|
ACE YOUR GRADES.
A 26-year-old male with asthma is seen in the emergency department. He is short
of breath to a degree that makes it difficult to speak in sentences and he appears
tired. On examination you note diminished breath sounds with an occasional
wheeze. His FEV1 is 15% of predicted and his pCO2 is 45 mm Hg. He is given
albuterol (Proventil, Ventolin) over the next hour but he has a poor response. He
is not able to repeat the spirometry and he now appears drowsy. Which one of
the following would be consistent with imminent respiratory failure? - (answers)E.
The absence of wheezes
Which one of the following is true regarding leukotriene modifiers for treatment
of asthma in adults? - (answers)D. They are less effective than inhaled
corticosteroids (ICSs)
Chronic low- to medium-dose inhaled corticosteroid use in children is associated
with - (answers)E. no long-term adverse effects
An 18-year-old female presents to your office with a history of wheezing,
coughing, and year-round symptoms of rhinitis. She reports that her symptoms
occur several times a week but rarely more than once a day, except in the last
year, when she has had to intermittently use albuterol (Proventil, Ventolin) every
day for a week at a time. She wakes up with nighttime coughing weekly, with no
fever or other symptoms, and tells you that the coughing is severe enough to
make her cat jump off the bed. Albuterol helps her symptoms temporarily. She
has been treated with oral corticosteroids on three occasions this past year, most
,2|Page
recently 6 weeks ago. Her Asthma Control Test score is 17. Pre- and
postbronchodilator spirometry results are shown below.
Initial testing
FVC............2.0 L (80% of predicted)
FEV1............1.4 L (70% of predicted)
FEF 25-75............1.5 L/sec (89% of predicted)
15 minutes post bronchodilator - (answers)A. Budesonide/formoterol (Symbicort),
with an increase in dosage for exacerbations
A 22-year-old female presents to your office with an acute asthma attack that
developed 2 days after the onset of a viral upper respiratory infection. Her
asthma is usually well controlled, with a personal best peak expiratory flow (PEF)
of 380 L/min. On initial evaluation by the nurse she has a pulse rate of 120
beats/min, a respiratory rate of 32/min, and an oxygen saturation of 92% on
room air. On examination she is very dyspneic with diffuse inspiratory and
expiratory wheezing and she is using accessory muscles to breathe. Her PEF is 150
L/min. Inhaled β-agonists and systemic corticosteroids are administered and she
is reevaluated 1 hour later. Which one of the following would provide the most
reassurance that she is responding to therapy? - (answers)C. A PEF of 310 L/min
You are counseling a patient with moderate persistent asthma about the value of
following a written asthma action plan. To encourage her to use an asthma action
plan you share the results of studies that document their benefit in optimizing
asthma control and reducing future risk.
, 3|Page
Which one of the following is an accurate statement regarding asthma action
plans? - (answers)D. The lack of a written asthma action plan is a risk factor for
death from asthma
A 28-year-old female presents with progressively worsening asthma after a recent
viral upper respiratory infection. When you enter the room, she appears in
distress and is only able to talk in words, not sentences. Her respiratory rate is
34/min and her heart rate is 126 beats/min. Her oxygen saturation before oxygen
was administered was 89%. You begin treatment with a nebulized short-acting β-
agonist (SABA) plus ipratropium and give an initial dose of oral prednisone. After
one hour her symptoms are not responsive to initial treatment efforts.
Which one of the following should you consider as a possible adjunctive
treatment? - (answers)C. Intravenous magnesium sulfate
Which one of the following is true regarding regular use of inhaled corticosteroids
(ICSs) in patients with persistent asthma? - (answers)A. Oral candidiasis is a
potential side effect of ICS use
You have recently opened a new practice in western North Carolina. In your first
week of seeing patients, a 17-year-old male reports that his asthma is usually
worse in the early spring.
Which one of the following is most likely triggering his symptoms at that time of
year? - (answers)A. Tree Pollen
A 14-year-old female presents with a recent history of cough and shortness of
breath with exercise. Baseline pulmonary function testing reveals an FEV1 of 3.1 L
and a peak expiratory flow of 600 L/min. Exercise testing is scheduled.
ASTHMA KSA EXAM 2025| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK|
ACE YOUR GRADES.
A 26-year-old male with asthma is seen in the emergency department. He is short
of breath to a degree that makes it difficult to speak in sentences and he appears
tired. On examination you note diminished breath sounds with an occasional
wheeze. His FEV1 is 15% of predicted and his pCO2 is 45 mm Hg. He is given
albuterol (Proventil, Ventolin) over the next hour but he has a poor response. He
is not able to repeat the spirometry and he now appears drowsy. Which one of
the following would be consistent with imminent respiratory failure? - (answers)E.
The absence of wheezes
Which one of the following is true regarding leukotriene modifiers for treatment
of asthma in adults? - (answers)D. They are less effective than inhaled
corticosteroids (ICSs)
Chronic low- to medium-dose inhaled corticosteroid use in children is associated
with - (answers)E. no long-term adverse effects
An 18-year-old female presents to your office with a history of wheezing,
coughing, and year-round symptoms of rhinitis. She reports that her symptoms
occur several times a week but rarely more than once a day, except in the last
year, when she has had to intermittently use albuterol (Proventil, Ventolin) every
day for a week at a time. She wakes up with nighttime coughing weekly, with no
fever or other symptoms, and tells you that the coughing is severe enough to
make her cat jump off the bed. Albuterol helps her symptoms temporarily. She
has been treated with oral corticosteroids on three occasions this past year, most
,2|Page
recently 6 weeks ago. Her Asthma Control Test score is 17. Pre- and
postbronchodilator spirometry results are shown below.
Initial testing
FVC............2.0 L (80% of predicted)
FEV1............1.4 L (70% of predicted)
FEF 25-75............1.5 L/sec (89% of predicted)
15 minutes post bronchodilator - (answers)A. Budesonide/formoterol (Symbicort),
with an increase in dosage for exacerbations
A 22-year-old female presents to your office with an acute asthma attack that
developed 2 days after the onset of a viral upper respiratory infection. Her
asthma is usually well controlled, with a personal best peak expiratory flow (PEF)
of 380 L/min. On initial evaluation by the nurse she has a pulse rate of 120
beats/min, a respiratory rate of 32/min, and an oxygen saturation of 92% on
room air. On examination she is very dyspneic with diffuse inspiratory and
expiratory wheezing and she is using accessory muscles to breathe. Her PEF is 150
L/min. Inhaled β-agonists and systemic corticosteroids are administered and she
is reevaluated 1 hour later. Which one of the following would provide the most
reassurance that she is responding to therapy? - (answers)C. A PEF of 310 L/min
You are counseling a patient with moderate persistent asthma about the value of
following a written asthma action plan. To encourage her to use an asthma action
plan you share the results of studies that document their benefit in optimizing
asthma control and reducing future risk.
, 3|Page
Which one of the following is an accurate statement regarding asthma action
plans? - (answers)D. The lack of a written asthma action plan is a risk factor for
death from asthma
A 28-year-old female presents with progressively worsening asthma after a recent
viral upper respiratory infection. When you enter the room, she appears in
distress and is only able to talk in words, not sentences. Her respiratory rate is
34/min and her heart rate is 126 beats/min. Her oxygen saturation before oxygen
was administered was 89%. You begin treatment with a nebulized short-acting β-
agonist (SABA) plus ipratropium and give an initial dose of oral prednisone. After
one hour her symptoms are not responsive to initial treatment efforts.
Which one of the following should you consider as a possible adjunctive
treatment? - (answers)C. Intravenous magnesium sulfate
Which one of the following is true regarding regular use of inhaled corticosteroids
(ICSs) in patients with persistent asthma? - (answers)A. Oral candidiasis is a
potential side effect of ICS use
You have recently opened a new practice in western North Carolina. In your first
week of seeing patients, a 17-year-old male reports that his asthma is usually
worse in the early spring.
Which one of the following is most likely triggering his symptoms at that time of
year? - (answers)A. Tree Pollen
A 14-year-old female presents with a recent history of cough and shortness of
breath with exercise. Baseline pulmonary function testing reveals an FEV1 of 3.1 L
and a peak expiratory flow of 600 L/min. Exercise testing is scheduled.
