NAECB Signs & Symptoms Of Asthma 3

Question 1

A patient describes chest tightness that is worse in the morning and improves throughout the day. Which asthma symptom pattern does this represent?

Accepted Answer

Diurnal variation in symptoms

Answer

Diurnal variation with morning worsening reflects circadian changes in airway tone and inflammation that are characteristic of asthma.

Question 2

Which of the following is a symptom of hyperinflation during a severe asthma episode?

Accepted Answer

Barrel chest appearance

Answer

Air trapping during severe asthma causes lung hyperinflation, resulting in a barrel chest with increased anteroposterior diameter.

Question 3

A child with asthma complains of persistent nighttime cough without wheezing. The MOST likely explanation is:

Accepted Answer

Cough-variant asthma where cough is the predominant symptom

Answer

Cough-variant asthma presents with chronic cough as the primary or sole symptom, often worse at night, without typical wheezing.

Question 4

During spirometry, which finding is MOST consistent with asthma?

Accepted Answer

Decreased FEV1 with low FEV1/FVC ratio that improves ≥12% after bronchodilator

Answer

A reduced FEV1/FVC ratio (obstructive pattern) that improves ≥12% and ≥200 mL after bronchodilator administration confirms reversible airflow obstruction consistent with asthma.

Question 5

Which symptom is MOST likely to suggest allergic (atopic) asthma rather than non-allergic asthma?

Accepted Answer

Symptoms associated with seasonal pollen exposure and other allergic conditions

Answer

Allergic asthma is associated with sensitization to allergens, often occurring alongside other atopic conditions such as allergic rhinitis and eczema, with seasonal patterns.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Signs & Symptoms Of Asthma 3