American Board of Internal Medicine (ABIM) Certification Practice Exam

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What is the goal of asthma management during pregnancy?

  1. Achieving maximum bronchodilation

  2. Optimizing anti-inflammatory therapy

  3. Avoiding all medications

  4. Reducing exercise-induced symptoms

The correct answer is: Optimizing anti-inflammatory therapy

The goal of asthma management during pregnancy is to optimize anti-inflammatory therapy. During pregnancy, maintaining control of asthma is crucial for the health of both the mother and the developing fetus. The underlying pathophysiology of asthma involves inflammation of the airways, and effective management typically includes the use of anti-inflammatory medications, such as inhaled corticosteroids. Optimizing anti-inflammatory therapy helps to minimize asthma exacerbations, ensure adequate oxygen delivery to the fetus, and prevent potential complications associated with poorly controlled asthma, such as preterm labor or low birth weight. It is important to balance medication use with potential risks, and current guidelines encourage the use of the safest medications to achieve asthma control without jeopardizing maternal or fetal health. While achieving maximum bronchodilation, avoiding all medications, and reducing exercise-induced symptoms may be relevant aspects of managing asthma in general, they do not encompass the comprehensive approach needed during pregnancy. Avoiding all medications, in particular, can lead to inadequate asthma control, which poses greater risks than the controlled use of appropriate asthma medications.