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Pediatrics · Respiratory: asthma
Sample itemA child has recurrent episodes of wheeze, cough worse at night, reversible airflow limitation, and symptom-free intervals. What is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Asthma
Asthma is a variable inflammatory airway disease with recurrent reversible wheeze, cough, chest tightness, and breathlessness. Control is assessed by symptoms, exacerbations, and lung function when age appropriate.
Option by option
A. Croup
Croup causes barking cough and stridor.
B. Asthma (correct)
Correct. Recurrent reversible episodic symptoms are typical asthma.
C. Foreign body aspiration
Foreign-body aspiration is often abrupt and focal rather than recurrent reversible.
D. Bronchiolitis
Bronchiolitis is usually a first viral wheezing illness in infants.
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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