Pulmonology Board Exam Started: Jul 13, 2026 00:42 Page 8 of 57 Attempt #1415 Overall: 0 / 285 questions answered Question 36 / 285 Not answered At a preventive-care consultation: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 462) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B Explanation: [Pulmonology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 37 / 285 Not answered At a preventive-care consultation: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 463) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Life-threatening asthma requiring urgent escalation D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: C Explanation: [Pulmonology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 38 / 285 Not answered At a preventive-care consultation: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 464) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Treat hypoglycemia immediately and reassess neurologic deficit E. Delay glucose correction until CT Show Answer & Explanation Correct Answer: D Explanation: [Pulmonology] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 39 / 285 Not answered At a preventive-care consultation: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 465) A. Live intranasal influenza vaccine B. BCG vaccine C. Varicella vaccine D. No vaccine in pregnancy ever E. Inactivated influenza vaccine Show Answer & Explanation Correct Answer: E Explanation: [Pulmonology] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy Guidance. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 40 / 285 Not answered In a rural clinic with limited resources: A 24-year-old woman has episodic wheeze, cough at night, and reversible airflow obstruction after salbutamol. What is the best diagnosis? A. COPD B. Asthma C. Bronchiectasis D. Pulmonary embolism E. Pneumothorax Show Answer & Explanation Correct Answer: B Explanation: [Pulmonology] Variable respiratory symptoms plus reversible expiratory airflow limitation support asthma. Reference: GINA Global Strategy for Asthma Management and Prevention 2025/2026. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 8 of 57 Next → »