Page 1 of 57
KSA Asthma Exam MCQS 2026-2027 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
1. A 12-year-old female with intermittent asthma reports symptoms only during spring. Her
FEV1 is 92% predicted, and she rarely wakes at night. Which is the most appropriate initial
therapy?
A. Daily low-dose inhaled corticosteroid
B. As-needed short-acting β-agonist ✅
C. Daily leukotriene modifier
D. LABA monotherapy
Rationale: Intermittent asthma with normal lung function and infrequent symptoms is best
managed with SABA as needed.
2. A 10-year-old male with moderate persistent asthma has daily symptoms and nighttime
awakenings twice per week. Which step-up therapy is recommended?
A. Increase SABA frequency only
B. Medium-dose ICS daily ✅
C. LABA monotherapy
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D. Discontinue current ICS
Rationale: Moderate persistent asthma requires daily ICS therapy, potentially increasing to
medium dose for better control.
3. A 25-year-old male with a history of exercise-induced asthma develops shortness of breath
during a soccer match. Which medication is most appropriate for pre-exercise use?
A. Daily ICS only
B. Oral corticosteroid
C. Short-acting β-agonist 15 minutes before exercise ✅
D. Leukotriene modifier only
Rationale: SABA pre-exercise prevents exercise-induced bronchospasm effectively.
4. In a 16-year-old with asthma, which factor increases the risk of severe exacerbations?
A. Regular ICS use
B. Correct inhaler technique
C. Overuse of short-acting β-agonist inhalers ✅
D. Allergy immunotherapy
Rationale: Frequent use of rescue inhalers signals poor control and higher risk of severe
attacks.
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5. A 32-year-old female with poorly controlled asthma on medium-dose ICS presents with
daily wheezing. Which is the most appropriate next step?
A. Reduce ICS dose
B. Switch to SABA only
C. Add a LABA to her ICS ✅
D. Discontinue controller therapy
Rationale: Step-up therapy with ICS + LABA is indicated when asthma is uncontrolled on ICS
alone.
6. A 5-year-old presents with recurrent wheezing only during viral infections. Which
management strategy is recommended?
A. As-needed SABA and monitor ✅
B. Daily high-dose ICS
C. Daily LABA
D. Oral corticosteroids long-term
Rationale: Intermittent virus-triggered wheezing should be managed with SABA as needed, not
daily controller therapy.
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7. Which laboratory test can help identify patients with allergic asthma suitable for
omalizumab?
A. CBC
B. Arterial blood gas
C. Serum IgE levels ✅
D. Chest X-ray
Rationale: Omalizumab is indicated for moderate-to-severe allergic asthma with elevated IgE.
8. A 30-year-old pregnant female with mild persistent asthma asks about medication safety.
Which is correct?
A. Discontinue all inhalers
B. Take LABA monotherapy
C. Inhaled corticosteroids are safe ✅
D. Switch to oral corticosteroids only
Rationale: ICS therapy is considered safe and effective during pregnancy for asthma control.
9. Which symptom most suggests severe asthma exacerbation in the ED?
A. Mild cough
B. Occasional wheeze
KSA Asthma Exam MCQS 2026-2027 COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
1. A 12-year-old female with intermittent asthma reports symptoms only during spring. Her
FEV1 is 92% predicted, and she rarely wakes at night. Which is the most appropriate initial
therapy?
A. Daily low-dose inhaled corticosteroid
B. As-needed short-acting β-agonist ✅
C. Daily leukotriene modifier
D. LABA monotherapy
Rationale: Intermittent asthma with normal lung function and infrequent symptoms is best
managed with SABA as needed.
2. A 10-year-old male with moderate persistent asthma has daily symptoms and nighttime
awakenings twice per week. Which step-up therapy is recommended?
A. Increase SABA frequency only
B. Medium-dose ICS daily ✅
C. LABA monotherapy
,Page 2 of 57
D. Discontinue current ICS
Rationale: Moderate persistent asthma requires daily ICS therapy, potentially increasing to
medium dose for better control.
3. A 25-year-old male with a history of exercise-induced asthma develops shortness of breath
during a soccer match. Which medication is most appropriate for pre-exercise use?
A. Daily ICS only
B. Oral corticosteroid
C. Short-acting β-agonist 15 minutes before exercise ✅
D. Leukotriene modifier only
Rationale: SABA pre-exercise prevents exercise-induced bronchospasm effectively.
4. In a 16-year-old with asthma, which factor increases the risk of severe exacerbations?
A. Regular ICS use
B. Correct inhaler technique
C. Overuse of short-acting β-agonist inhalers ✅
D. Allergy immunotherapy
Rationale: Frequent use of rescue inhalers signals poor control and higher risk of severe
attacks.
,Page 3 of 57
5. A 32-year-old female with poorly controlled asthma on medium-dose ICS presents with
daily wheezing. Which is the most appropriate next step?
A. Reduce ICS dose
B. Switch to SABA only
C. Add a LABA to her ICS ✅
D. Discontinue controller therapy
Rationale: Step-up therapy with ICS + LABA is indicated when asthma is uncontrolled on ICS
alone.
6. A 5-year-old presents with recurrent wheezing only during viral infections. Which
management strategy is recommended?
A. As-needed SABA and monitor ✅
B. Daily high-dose ICS
C. Daily LABA
D. Oral corticosteroids long-term
Rationale: Intermittent virus-triggered wheezing should be managed with SABA as needed, not
daily controller therapy.
, Page 4 of 57
7. Which laboratory test can help identify patients with allergic asthma suitable for
omalizumab?
A. CBC
B. Arterial blood gas
C. Serum IgE levels ✅
D. Chest X-ray
Rationale: Omalizumab is indicated for moderate-to-severe allergic asthma with elevated IgE.
8. A 30-year-old pregnant female with mild persistent asthma asks about medication safety.
Which is correct?
A. Discontinue all inhalers
B. Take LABA monotherapy
C. Inhaled corticosteroids are safe ✅
D. Switch to oral corticosteroids only
Rationale: ICS therapy is considered safe and effective during pregnancy for asthma control.
9. Which symptom most suggests severe asthma exacerbation in the ED?
A. Mild cough
B. Occasional wheeze
