Female with wheezing and shortness of breath
Author and Disclosure Information [Show]

Zab Mosenifar, MD, Medical Director, Women's Lung Institute; Executive Vice Chairman, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, California

Zab Mosenifar, MD, has disclosed no relevant financial relationships.

Question 1 of 3

A 19-year-old female patient presents with wheezing and shortness of breath. She has a history of moderate asthma but has generally been able to control symptoms through Step 3 maintenance therapy and reports adherence to a low-dose inhaled corticosteroid (ICS), formoterol. She also reports that she has begun using e-cigarettes. On presentation, the patient has assumed a sitting position. Pulsus paradoxus is present (14 mm Hg), and the heart rate is 118 beats/min.

What is the likely diagnosis?

Alpha1-antitrypsin deficiency

Eosinophilic asthma


Asthma flare-up

Inducible laryngeal obstruction

This quiz is not accredited for CME.

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