ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
A 29-year-old female at 32 weeks gestation presents with a
3-day history of increasing wheezing and dyspnea. She has a
history of asthma since childhood.
Which one of the following pCO2 levels is the threshold for
respiratory failure in this patient? - ANSWERS-B. 35 mm Hg
Extrinsic IgE-mediated allergy can serve as a trigger for
asthma. Which one of the following can reduce
corticosteroid requirements in patients with asthma by
reducing free-circulating IgE? - ANSWERS-C. Omalizumab
(Xolair)
You are treating a 21-year-old female for moderate
persistent asthma, which has been under good control. You
had been considering step-down therapy, but she presents
,for follow-up after a weekend emergency department visit
for an anaphylactic reaction she had while celebrating her
birthday.
Which one of the following items served at her birthday
celebration is most likely to cause this reaction? - ANSWERS-
E. Wine
The mother of a 12-year-old male calls your office and tells
you that over the past few days he has had a low-grade
fever, runny nose, and cough with yellowish phlegm. He has
a history of mild persistent asthma with a personal best
peak flow of 410 L/min, managed with daily use of
budesonide/formoterol (Symbicort) plus as-needed
albuterol (Proventil, Ventolin). The mother says that 2 nights
ago he awoke in the middle of the night because of a
coughing fit. She reports that his initial peak flow
measurement had dropped to 283 L/min (69% of personal
best). You advise her to continue the ICS/formoterol and to
increase the frequency of his albuterol use to every 6 hours
during this acute infection. She calls 2 days later and reports
that his peak flow is only 300 L/min (73% of personal best)
and it has remained below 330 L/min (80% of personal best)
over the past 48 hours.
In addition to continuing his as-needed albutero -
ANSWERS-C. Increasing the budesonide/formoterol
frequency to every 4 hours, up to 10 times a day
, A 4-year-old female is brought to your office by her parents,
who moved to your community about a year ago. The
daughter has a history of wheezing associated with viral
respiratory illnesses in the past, and they want to know if
she has asthma. Her father reports that her symptoms have
increased since the move, including five distinct episodes of
wheezing and difficulty breathing which were not
associated with playing or laughing. The wheezing
associated with respiratory infections now lasts longer than
10 days. While most wheezing episodes have occurred
during the day, she has also had occasional difficulty
breathing and coughing at night. Further history reveals that
she has had intermittent problems with food allergies.
Which one of the following would be most predictive of
asthma in a child this age? - ANSWERS-B. More than three
episodes of wheezing per year
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