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Pediatrics · Respiratory illness
Sample itemWhat finding helps identify severe asthma exacerbation in a child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Difficulty speaking due to breathlessness
A child unable to speak comfortably because of breathlessness may have severe airflow limitation and needs urgent clinical assessment and bronchodilator treatment.
Option by option
A. Difficulty speaking due to breathlessness (correct)
Correct: speech limitation is a concerning severity marker in asthma.
B. No wheeze with normal effort
No wheeze with normal effort is not a severe asthma pattern.
C. Normal activity
Normal activity argues against a severe exacerbation.
D. Mild hiccups
Hiccups do not grade asthma severity.
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.