ABFM + KSA
ASTHMA
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,An 18-year-old female presents to your office with a history of wheezing
and year-round symptoms of rhinitis. She reports wheezing and coughing
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, without fever or other symptoms, and tells you this tends to scare
her cat, who sleeps with her. Albuterol helps her symptoms temporarily.
She has been treated with oral corticosteroids on three occasions this past
year, most recently 6 weeks ago. Her Asthma Control Test score is 17. Pre-
and post-bronchodilator 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 administration
FVC............2.3 L (105% of predicted)
FEV1............2.0 L (100% of predicted)
FEF 25-75............1.9 L/sec (100% of predicted)
Appropriate management at this time includes which of the following?
(Mark all that are true.)
A. Initiation of inhaled formoterol (Foradil) and an inhaled corticosteroid
B. Albuterol, 1-2 puffs as needed
C. A discussion about removing the cat from her bedroom
D. Follow-up in 2 months
,**Answer**
A, B, C
*Rationale:*
This patient has moderate persistent asthma. She should begin an inhaled
corticosteroid and a long-acting β-adrenergic agent. She should also have
a short-acting β-adrenergic inhaler available for use on an as-needed
basis. The patient should also be counseled about removing the cat from
the room. Follow-up should occur 2-5 weeks after initiating therapy.
---
True statements regarding the use of long-acting β2-agonists in
asthma include which of the following? (Mark all that are true.)
A. They are useful for treating acute symptoms or exacerbations
B. They represent an alternative to inhaled corticosteroids in patients with
persistent asthma
C. They provide a mild anti-inflammatory effect
D. They are beneficial when used in conjunction with inhaled
corticosteroids
E. Salmeterol (Serevent) acts more rapidly than formoterol (Foradil)
**Answer**
D
, *Rationale:*
Long-acting β2-agonists can be used in patients with persistent asthma to
provide sustained symptom control, particularly for nocturnal or exercise-
induced symptoms. Because of their relatively slow onset of action and
time to peak effect, they should not be used for acute symptom relief.
Because they do not have a significant anti-inflammatory effect, they
should be used with another controller medication, such as an inhaled
corticosteroid, in patients with persistent asthma. The onset of
bronchodilation occurs in 2-3 minutes with formoterol, as opposed to 10-15
minutes with salmeterol. Given the possibility of excess mortality noted in
the Salmeterol Multi-center Asthma Research Trial (SMART), long-acting
β2-agonists should be added only when inhaled corticosteroids or other
controller medications have failed to control the asthma.
---
A 14-year-old female presents to you 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 PEF of 600 L/min. Exercise testing is
scheduled.
Which of the following measurements after exercise would support a
diagnosis of exercise-induced bronchospasm? (Mark all that are true.)
A. FEV1 2.8 L
B. FEV1 2.5 L
C. FEV1 2.2 L
D. PEF 540 L/min
E. PEF 525 L/min
ASTHMA
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,An 18-year-old female presents to your office with a history of wheezing
and year-round symptoms of rhinitis. She reports wheezing and coughing
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, without fever or other symptoms, and tells you this tends to scare
her cat, who sleeps with her. Albuterol helps her symptoms temporarily.
She has been treated with oral corticosteroids on three occasions this past
year, most recently 6 weeks ago. Her Asthma Control Test score is 17. Pre-
and post-bronchodilator 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 administration
FVC............2.3 L (105% of predicted)
FEV1............2.0 L (100% of predicted)
FEF 25-75............1.9 L/sec (100% of predicted)
Appropriate management at this time includes which of the following?
(Mark all that are true.)
A. Initiation of inhaled formoterol (Foradil) and an inhaled corticosteroid
B. Albuterol, 1-2 puffs as needed
C. A discussion about removing the cat from her bedroom
D. Follow-up in 2 months
,**Answer**
A, B, C
*Rationale:*
This patient has moderate persistent asthma. She should begin an inhaled
corticosteroid and a long-acting β-adrenergic agent. She should also have
a short-acting β-adrenergic inhaler available for use on an as-needed
basis. The patient should also be counseled about removing the cat from
the room. Follow-up should occur 2-5 weeks after initiating therapy.
---
True statements regarding the use of long-acting β2-agonists in
asthma include which of the following? (Mark all that are true.)
A. They are useful for treating acute symptoms or exacerbations
B. They represent an alternative to inhaled corticosteroids in patients with
persistent asthma
C. They provide a mild anti-inflammatory effect
D. They are beneficial when used in conjunction with inhaled
corticosteroids
E. Salmeterol (Serevent) acts more rapidly than formoterol (Foradil)
**Answer**
D
, *Rationale:*
Long-acting β2-agonists can be used in patients with persistent asthma to
provide sustained symptom control, particularly for nocturnal or exercise-
induced symptoms. Because of their relatively slow onset of action and
time to peak effect, they should not be used for acute symptom relief.
Because they do not have a significant anti-inflammatory effect, they
should be used with another controller medication, such as an inhaled
corticosteroid, in patients with persistent asthma. The onset of
bronchodilation occurs in 2-3 minutes with formoterol, as opposed to 10-15
minutes with salmeterol. Given the possibility of excess mortality noted in
the Salmeterol Multi-center Asthma Research Trial (SMART), long-acting
β2-agonists should be added only when inhaled corticosteroids or other
controller medications have failed to control the asthma.
---
A 14-year-old female presents to you 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 PEF of 600 L/min. Exercise testing is
scheduled.
Which of the following measurements after exercise would support a
diagnosis of exercise-induced bronchospasm? (Mark all that are true.)
A. FEV1 2.8 L
B. FEV1 2.5 L
C. FEV1 2.2 L
D. PEF 540 L/min
E. PEF 525 L/min
