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General Medicine · Respiratory medicine
Sample itemWhat is the immediate priority in a severe acute asthma exacerbation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Assess severity and give prompt inhaled bronchodilator therapy
Severe acute asthma needs rapid severity assessment, oxygen when indicated, and prompt bronchodilator treatment while escalation is arranged.
Option by option
A. Assess severity and give prompt inhaled bronchodilator therapy (correct)
Correct: acute bronchodilation and assessment are time-critical.
B. Stop all inhalers
Stopping inhalers can worsen bronchospasm.
C. Arrange routine annual review only
Annual review is inappropriate for an acute attack.
D. Start long-term pulmonary rehabilitation
Rehabilitation is not initial emergency treatment.
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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