Professional and Linguistic Assessments Board (PLAB) Practice Exam

Which of the following is NOT typically included in the management steps for an acute asthma attack?

1. Magnesium sulfate IV

2. Oxygen therapy

3. Long-term corticosteroids

4. Aminophylline/IV salbutamol

The correct answer is: Long-term corticosteroids

In the management of an acute asthma attack, immediate and effective treatment focuses on alleviating symptoms and restoring respiratory function. Typically, this includes measures like oxygen therapy to address hypoxia, intravenous magnesium sulfate as a bronchodilator for severe attacks, and medications such as aminophylline or IV salbutamol for quick relief of bronchospasm. Long-term corticosteroids, however, are not included in the acute management steps. These medications are cornerstone treatments for chronic asthma control and are used to reduce inflammation and prevent future attacks rather than provide immediate relief during an acute episode. Their effects are not rapid enough for urgent situations, and thus they are not part of the acute management protocol. Instead, they are prescribed for long-term management to stabilize the condition over time. This distinction emphasizes the importance of differentiating between acute and chronic treatment strategies in asthma management. By focusing on immediate relief during an acute attack, healthcare providers can improve patient outcomes effectively.