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Asthma (PG)
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1. What is the typical symptom pattern of asthma?
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Constant chest pain
Daily haemoptysis
Intermittent wheeze, breathlessness, chest tightness, and cough
Night sweats and chills
2. Which test is most useful for diagnosing variable airflow obstruction in suspected asthma?
*
Peak Flow
Chest X-ray
Spirometry with reversibility testing
Urea breath test
3. Which of the following confirms reversible airway obstruction in asthma?
*
FEV1 increase ≥12% and 200 mL post-bronchodilator
Increased TLC
Low FEV1/FVC ratio with no change
Normal FEV1
4. Which medication is first-line for symptom relief in asthma?
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Inhaled corticosteroid •
Short-acting beta2 agonist (SABA)
Leukotriene receptor antagonist
Long-acting beta2 agonist (LABA)
5. What is the most appropriate controller therapy for persistent asthma?
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Inhaled corticosteroid
Oral steroid
Theophylline
SABA only
6. What is the step 2 treatment in adults under NICE asthma guidelines?
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SABA + Peak flow diary
SABA + low dose ICS
C. SABA + high dose ICS
SABA + oral steroid
7. What does a peak flow diary help assess?
*
Lung cancer
Fixed airflow obstruction
Diurnal variation and triggers in asthma
Oxygen saturation
8. What feature suggests poor asthma control?
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Normal sleep
Using SABA ≥3 times per week
Stable peak flow
No exacerbations
9. Which of the following is a common trigger for asthma exacerbation?
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Sunlight
Viral infections
Caffeine
High cholesterol
10. What is the purpose of a personal asthma action plan?
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To reduce clinic visits
To taper off medication
To help recognise and manage worsening asthma
To maximise inhaler use
11. Which sign suggests a life-threatening asthma attack?
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Tachycardia
Silent chest and cyanosis
Moderate wheeze
Mild tachypnoea
12. What is the oxygen saturation threshold for urgent hospital referral in acute asthma?
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>97%
92–95%
<92%
100%
13. Which of the following is NOT a typical asthma symptom?
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Wheeze
Cough
Chest tightness
Bradycardia
14. What is the recommended inhaler technique review interval?
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Only when requested
Annually (Year of Care)
Every 3–6 months
Every 2 years
15. Which add-on treatment is considered after low-dose ICS in stepwise asthma treatment?
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Oral steroids
Long-acting beta agonist (LABA)
Antibiotics
Beta blockers
16. What is the appropriate follow-up after an asthma exacerbation?
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No follow-up required
Routine check after 8 weeks
GP review within 2 working days
Assessment at local Emergency department
17. Which class of drug is montelukast?
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Beta blocker
Leukotriene receptor antagonist
SABA
Antihistamine
18. What is the main purpose of spacer devices?
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Improve drug absorption in the mucosal membranes
Reduce systemic steroid use
Enhance drug delivery and reduce oropharyngeal deposition
Monitor peak flow
19. Which peak flow variability is suggestive of asthma?
*
<10%
≥20%
Low peak flow in the morning only
Low peak flow in the evening only
20. Which of the following is NOT a typical feature of exercise-induced asthma?
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Cough or wheeze after exertion
Triggered by cold air
Improved with warm-up
Better during exercise than after