Page 1 of 25
ABFM + KSA ASTHMA V2 EXAM NEWEST
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
A 13-year-old male with a history of moderate persistent asthma presents
to the emergency department with a 2-day history of worsening dyspnea
despite frequent use of an inhaled β-agonist. An examination reveals a
restless patient with a respiratory rate of 35/min, obvious suprasternal
D
retractions, and loud inspiratory and expiratory wheezes. His peak flow
O
is 250 L/min (49% of personal best). His oxygen saturation is 89%.
N
Which one of the following management options would be most
O
effective for preventing hospitalization in this patient? - ✔✔✔ Correct
T
Answer > C. An inhaled anticholinergic agent in combination with a short-
C
acting β-agonist
O
PY
A 42-year-old female sees you for follow-up of her asthma. Since her
diagnosis at the age of 19 she has required controller therapy except for
several years when she lived in Arizona. She had been doing well on
fluticasone propionate/salmeterol (Advair Diskus), 250/50 µg, and
montelukast (Singulair). Over the past 6 months her control has
worsened, and you changed her regimen to a medium-dose inhaled
corticosteroid (ICS)/formoterol daily and as needed, in addition to the
montelukast.She is adherent to her medications and demonstrates proper
inhaler technique in the office. However, she now has asthma symptoms
daily and awakens because of asthma about twice a week. She smokes 5-
,Page 2 of 25
8 cigarettes daily despite your recommendations to quit. She also has a
cat that she knows she is allergic to, but is unwilling to give up. Her
serum IgE level is 150 IU/mL.
You continue efforts to promote smoking cessation and environmental m
- ✔✔✔ Correct Answer > C. A daily medium-dose ICS, a LABA, and a long-
acting muscarinic antagonist, with a shortacting β-agonist as needed
A 30-year-old female has a 3-year history of chronic nasal congestion
and rhinitis. She has described this as a frequent "cold" that won't go
D
away and has noticed progressive anosmia. She has used nasal
O
corticosteroids in the past for polyps. Over the past few months she has
N
noted intermittent episodes of chest tightness and shortness of
O
breath.She began taking ibuprofen 2 days ago for an acute knee strain.
T
Today she presents with an increasing nonproductive cough and a new
onset of dyspnea. On examination she is afebrile with normal vital signs
C
O
but appears to be working to breathe. Auscultation of the lungs reveals
diffuse wheezes. A physical examination is otherwise normal.
PY
Which one of the following is true regarding this situation? - ✔✔✔
Correct Answer > B. Leukotriene modifiers would be particularly effective
for managing her symptoms
A 19-year-old male has severe persistent asthma treated with high-dose
inhaled corticosteroids and a long-acting inhaled βagonist. For the past
few months he has experienced daily wheezing and is using his albuterol
(Proventil, Ventolin) inhaler several times per day. His past medical
, Page 3 of 25
history is notable for a history of perennial allergic rhinitis related to a
cockroach allergy.
According to National Asthma Education and Prevention Program
guidelines, which one of the following adjunctive therapies would most
likely be of benefit? - ✔✔✔ Correct Answer > C. Omalizumab (Xolair)
A 7-year-old is brought to the emergency department with a severe
asthma exacerbation that does not respond to a combination of oxygen
and continuous short-acting β-agonists plus ipratropium. Oral
D
corticosteroids have been given.
O
Which one of the following medications has been shown to be
N
effective as adjunctive therapy to improve lung function and
O
decrease hospitalizations? - ✔✔✔ Correct Answer > E. Intravenous
T
magnesium sulfate
C
O
While some facets of asthma are reversible, changes seen in chronic,
PY
uncontrolled asthma may be irreversible. Which one of the following
histologic features of irreversible airway remodeling is seen in patients
with chronic asthma? - ✔✔✔ Correct Answer > B. An increased proportion of
myofibroblasts
Which one of the following sports is most likely to precipitate
bronchospasm in a patient with exercise-induced asthma? - ✔✔✔ Correct
Answer > A. Cross-country skiing
ABFM + KSA ASTHMA V2 EXAM NEWEST
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
A 13-year-old male with a history of moderate persistent asthma presents
to the emergency department with a 2-day history of worsening dyspnea
despite frequent use of an inhaled β-agonist. An examination reveals a
restless patient with a respiratory rate of 35/min, obvious suprasternal
D
retractions, and loud inspiratory and expiratory wheezes. His peak flow
O
is 250 L/min (49% of personal best). His oxygen saturation is 89%.
N
Which one of the following management options would be most
O
effective for preventing hospitalization in this patient? - ✔✔✔ Correct
T
Answer > C. An inhaled anticholinergic agent in combination with a short-
C
acting β-agonist
O
PY
A 42-year-old female sees you for follow-up of her asthma. Since her
diagnosis at the age of 19 she has required controller therapy except for
several years when she lived in Arizona. She had been doing well on
fluticasone propionate/salmeterol (Advair Diskus), 250/50 µg, and
montelukast (Singulair). Over the past 6 months her control has
worsened, and you changed her regimen to a medium-dose inhaled
corticosteroid (ICS)/formoterol daily and as needed, in addition to the
montelukast.She is adherent to her medications and demonstrates proper
inhaler technique in the office. However, she now has asthma symptoms
daily and awakens because of asthma about twice a week. She smokes 5-
,Page 2 of 25
8 cigarettes daily despite your recommendations to quit. She also has a
cat that she knows she is allergic to, but is unwilling to give up. Her
serum IgE level is 150 IU/mL.
You continue efforts to promote smoking cessation and environmental m
- ✔✔✔ Correct Answer > C. A daily medium-dose ICS, a LABA, and a long-
acting muscarinic antagonist, with a shortacting β-agonist as needed
A 30-year-old female has a 3-year history of chronic nasal congestion
and rhinitis. She has described this as a frequent "cold" that won't go
D
away and has noticed progressive anosmia. She has used nasal
O
corticosteroids in the past for polyps. Over the past few months she has
N
noted intermittent episodes of chest tightness and shortness of
O
breath.She began taking ibuprofen 2 days ago for an acute knee strain.
T
Today she presents with an increasing nonproductive cough and a new
onset of dyspnea. On examination she is afebrile with normal vital signs
C
O
but appears to be working to breathe. Auscultation of the lungs reveals
diffuse wheezes. A physical examination is otherwise normal.
PY
Which one of the following is true regarding this situation? - ✔✔✔
Correct Answer > B. Leukotriene modifiers would be particularly effective
for managing her symptoms
A 19-year-old male has severe persistent asthma treated with high-dose
inhaled corticosteroids and a long-acting inhaled βagonist. For the past
few months he has experienced daily wheezing and is using his albuterol
(Proventil, Ventolin) inhaler several times per day. His past medical
, Page 3 of 25
history is notable for a history of perennial allergic rhinitis related to a
cockroach allergy.
According to National Asthma Education and Prevention Program
guidelines, which one of the following adjunctive therapies would most
likely be of benefit? - ✔✔✔ Correct Answer > C. Omalizumab (Xolair)
A 7-year-old is brought to the emergency department with a severe
asthma exacerbation that does not respond to a combination of oxygen
and continuous short-acting β-agonists plus ipratropium. Oral
D
corticosteroids have been given.
O
Which one of the following medications has been shown to be
N
effective as adjunctive therapy to improve lung function and
O
decrease hospitalizations? - ✔✔✔ Correct Answer > E. Intravenous
T
magnesium sulfate
C
O
While some facets of asthma are reversible, changes seen in chronic,
PY
uncontrolled asthma may be irreversible. Which one of the following
histologic features of irreversible airway remodeling is seen in patients
with chronic asthma? - ✔✔✔ Correct Answer > B. An increased proportion of
myofibroblasts
Which one of the following sports is most likely to precipitate
bronchospasm in a patient with exercise-induced asthma? - ✔✔✔ Correct
Answer > A. Cross-country skiing
