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General Medicine · Respiratory medicine
Sample itemWhich spirometry pattern supports a diagnosis of obstructive airway disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Reduced FEV1/FVC ratio
Obstruction limits expiratory flow and lowers the FEV1/FVC ratio, as commonly seen in asthma and chronic obstructive pulmonary disease.
Option by option
A. Increased FEV1/FVC ratio from restriction
Restriction often preserves or raises the ratio.
B. Reduced oxygen saturation alone
Oxygen saturation is not a spirometric measurement.
C. Reduced FEV1/FVC ratio (correct)
Correct: airflow obstruction lowers the ratio.
D. Normal ratio with no symptoms
A normal ratio alone does not establish obstruction.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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