NAECB Asthma Education 5

Question 1

Which biologic medication targets IgE and is indicated for moderate-to-severe allergic asthma in patients aged 6 and older?

Accepted Answer

Omalizumab (Xolair)

Answer

Omalizumab is a monoclonal anti-IgE antibody approved for moderate-to-severe allergic asthma in patients ≥6 years with elevated IgE levels.

Question 2

A school-age child with asthma participates in sports. Which of the following is the most appropriate recommendation?

Accepted Answer

The child should take a SABA 15-30 minutes before exercise if prone to EIB

Answer

Pre-treatment with a SABA 15-30 minutes before exercise is effective prophylaxis for EIB and allows children to participate in physical activity.

Question 3

According to motivational interviewing principles used in asthma education, which approach best supports patient behavior change?

Accepted Answer

Exploring the patient's own motivation and ambivalence about self-management

Answer

Motivational interviewing explores and resolves ambivalence by drawing on the patient's intrinsic motivations, which is more effective than directive instruction.

Question 4

A patient in the yellow zone of their asthma action plan should be instructed to:

Accepted Answer

Take rescue bronchodilator, reassess, and contact their provider if not improving

Answer

The yellow zone (peak flow 50-79% of personal best or worsening symptoms) calls for rescue medication use, reassessment, and provider contact if not improving.

Question 5

Which indoor air quality intervention has the strongest evidence for reducing asthma morbidity in sensitized patients?

Accepted Answer

Installing high-efficiency HEPA air filters and encasing mattresses/pillows in allergen-proof covers

Answer

HEPA filtration and allergen-impermeable mattress/pillow covers significantly reduce dust mite and other allergen exposure in sensitized asthma patients.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Asthma Education 5