skip to main content

Acute asthma deterioration — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

HardRespiratory TherapeuticsAcute asthma deteriorationGPhC CRA

A 47-year-old woman using beclometasone/formoterol maintenance and reliever therapy asks for another reliever inhaler after using extra doses during a viral illness. She has chest tightness, respiratory rate 28/min and peak flow 45% of best. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Arrange same-day urgent assessment because features suggest acute asthma deterioration

A peak flow around 45% of best and tachypnoea indicate a significant asthma exacerbation requiring urgent assessment. Increased reliever use in MART also signals loss of control. Supplying a replacement without escalation could delay acute treatment. Antibiotics are not indicated simply because a viral illness triggered asthma symptoms.

Reference: NICE CKS Asthma; BNF