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Pediatrics · Respiratory illness
Sample itemWhich sign suggests severe asthma in a child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Unable to speak full sentences because of breathlessness
Inability to speak full sentences indicates significant respiratory distress in asthma and requires urgent severity assessment and treatment escalation.
Option by option
A. Mild wheeze after running that resolves
Brief mild exercise wheeze may be less severe.
B. Normal oxygen saturation and no distress
Normal oxygenation without distress is reassuring.
C. Itchy eyes during pollen season
Itchy eyes suggest allergic rhinitis.
D. Unable to speak full sentences because of breathlessness (correct)
Correct: speech limitation is a clinical marker of severe breathlessness.
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.