Asthma Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 42-year-old man is evaluated in the pulmonology clinic for a follow-up visit for asthma that was diagnosed one month ago after spirometry showed an FEV₁/FVC ratio of 0.6 and an increase in FEV₁ of 15% after albuterol administration. The patient was started on a daily low-dose inhaled corticosteroids (ICS)-long-acting beta-agonists(LABA) inhaler and has noticed an improvement in his symptoms. The patient wakes up short of breath several times weekly and needs to use a short-acting albuterol inhaler several times a day. Physical exam reveals diffuse bilateral wheezing. Serum IgE is 10 IU/mL, and eosinophils are 50 cells/µL. High-resolution CT of the chest is within normal limits. Which of the following is the most appropriate next step in management?

Elimination tool

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Add a long-acting muscarinic antagonist inhaler

Start omalizumab or mepolizumab

Make no changes and reevaluate the patient in one week

Consider an alternative diagnosis

Change the ICS-LABA inhaler to a medium dose