12 board-style questions on asthma in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 34-year-old man with mild persistent asthma currently uses albuterol as needed. His symptoms have been well controlled with this approach, but he now reports needing his rescue inhaler 3-4 times per week. He has no nighttime awakenings and his FEV1 is 82% predicted. According to current NAEPP stepwise therapy guidelines, what is the most appropriate next step in management?
A 28-year-old woman with a history of moderate persistent asthma presents to the emergency department with severe wheezing, accessory muscle use, and inability to speak in full sentences. Her peak expiratory flow is 35% of her personal best, heart rate is 118 bpm, respiratory rate is 28 breaths/min, and oxygen saturation is 90% on room air. She has received three nebulized albuterol treatments with minimal improvement. What is the most appropriate next step in management?
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