Female with wheezing and shortness of breath Reviewed by Zab Mosenifar, MD 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, CaliforniaZab 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? Choose one Alpha1-antitrypsin deficiency Eosinophilic asthma Bronchiectasis Asthma flare-up Inducible laryngeal obstruction This quiz is not accredited for CME.