Armenia Healthcare Licensing Exam Practice Questions - Centralized Examination For Individual And Transitional Individual Licenses Of Senior Healthcare Workers (Armenia) Exam

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A 24-year-old woman with persistent asthma presents with acute dyspnea and expiratory wheezing. She has used her salbutamol inhaler four times in the past 2 hours with little relief. Respiratory rate is 26/min, bilateral wheezing is present, and peak expiratory flow is 55% of predicted. What is the immediate first-line management?

Subcutaneous epinephrine and immediate endotracheal intubation Repeated inhaled short-acting beta-2 agonist through a spacer or nebulizer plus early systemic corticosteroid therapy Intravenous magnesium sulfate as monotherapy without an inhaled bronchodilator Oral montelukast and chest physiotherapy

Correct Answer:

Repeated inhaled short-acting beta-2 agonist through a spacer or nebulizer plus early systemic corticosteroid therapy

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