KSA ASTHMA CLINICAL EXAM: 2026/2027, WITH CORRECT/ACCURATE ANSWERS, ALL 150 VALID QUESTIONS GRADED A+ AND ANSWERS

KSA ASTHMA CLINICAL EXAM: 2026/2027,
WITH CORRECT/ACCURATE ANSWERS, ALL
150 VALID QUESTIONS GRADED A+ AND
ANSWERS



KSA ASTHMA CLINICAL EXAM
QUESTIONS 1–50

1. A 22-year-old male arrives to the ED with severe wheezing, RR
32/min, HR 120, cannot complete sentences. What is the FIRST
appropriate management?
A. Start IV magnesium sulfate
B. Administer nebulized salbutamol + ipratropium
C. Order chest X-ray
D. Start oral prednisolone

Correct Answer: B
Rationale: In acute severe asthma, immediate SABA + ipratropium via nebulizer is first-line. Steroids
follow after initial bronchodilation. IV magnesium is reserved for life-threatening or unresponsive severe
attacks.




2. A patient arrives with silent chest, SpO₂ 84%, and drowsiness.
What is the MOST urgent action?
A. Start continuous nebulization
B. Give IV hydrocortisone
C. Prepare for intubation
D. Give subcutaneous terbutaline

,Correct Answer: C
Rationale: A silent chest with altered consciousness = life-threatening asthma → immediate airway
intervention.




3. A stable asthma patient has FEV₁ 62% predicted and wakes up 2
nights per week with symptoms. What is the asthma severity?
A. Mild intermittent
B. Mild persistent
C. Moderate persistent
D. Severe persistent

Correct Answer: C
Rationale: Night symptoms ≥1/week + FEV₁ 60–80% = moderate persistent.




4. A 5-year-old has recurrent wheeze during viral infections only,
normal between episodes. Best diagnosis?
A. Asthma
B. Viral-induced wheeze
C. Croup
D. Bronchiolitis

Correct Answer: B
Rationale: Children <6 with wheeze only during viral illnesses typically have viral-induced wheeze, not
asthma.




5. An asthma patient arrives with SpO₂ 89% on room air. What is
the target oxygen saturation?
A. 92–94%
B. 88–90%
C. 95–98%
D. 100%

Correct Answer: C
Rationale: Oxygen target in acute asthma is 95–98%.

,6. A 30-year-old uses salbutamol inhaler 5 times daily. What is the
MOST appropriate action?
A. Increase salbutamol dose
B. Switch to montelukast
C. Begin inhaled corticosteroid therapy
D. Order chest CT

Correct Answer: C
Rationale: Overuse of SABA (>3 uses/week) indicates uncontrolled asthma → start ICS.




7. Child with asthma has poor technique. What is the best method of
delivery?
A. Nebulizer only
B. MDI with spacer
C. MDI alone
D. Dry powder inhaler

Correct Answer: B
Rationale: MDI + spacer is preferred for children; best deposition and easiest technique.




8. Which finding indicates impending respiratory arrest in asthma?
A. Loud wheeze
B. Prolonged expiration
C. Silent chest
D. Tachypnea

Correct Answer: C
Rationale: Silent chest = minimal airflow = life-threatening.




9. A 40-year-old with asthma has persistent symptoms despite
medium-dose ICS. Next step?
A. Add LABA
B. Add SABA
C. Add antitussive
D. Switch to LTRA only

, Correct Answer: A
Rationale: Step-wise therapy: ICS → ICS/LABA.




10. Which medication provides MOST rapid onset during acute
asthma?
A. Formoterol
B. Salbutamol
C. Budesonide
D. Montelukast

Correct Answer: B
Rationale: SABA is fastest onset bronchodilator.




11. A patient using budesonide-formoterol as needed belongs to
which GINA step?
A. Step 1
B. Step 2
C. Step 3
D. Step 4

Correct Answer: A
Rationale: As-needed ICS-formoterol is Step 1 preferred treatment.




12. Which sign IMMEDIATELY indicates need for IV magnesium
in acute asthma?
A. RR 20
B. SpO₂ 95%
C. Peak flow <40% predicted
D. Mild wheezing

Correct Answer: C
Rationale: Severe asthma unresponsive to SABA → magnesium indicated.




13. Beta-agonist overuse can cause: