Asthma USMLE Step 1 Practice Question
A 29-year-old woman with mild persistent asthma presents with acute-onset bronchospasm, nasal congestion, and urticaria 30 minutes after taking ibuprofen for menstrual cramps. Vital signs: BP 128/82, HR 112, RR 24, SpO2 92% on room air. Chest examination reveals diffuse wheezing. Peak flow is 65% of predicted. She denies fever and has no prior anaphylaxis. Which medication is most appropriate for long-term prevention of similar episodes?
Answer choices
- AMontelukastCorrect answer
- BRoflumilast
- CBosentan
- DTheophylline
- EN acetylcysteine
- FZileuton inhibiting 5-lipoxygenase for AERD prevention
See the full explanation
Get the correct-answer rationale, why each distractor is wrong, the underlying mechanism, and high-yield associations — plus adaptive practice that targets your weak areas — with a free MedBoardPRO account.