Recurrent Episodic Wheeze During in Medicine / Internal Medicine — 21yo Man | Respiratory / Pulmonology | SMLE Q#12286
SMLE Question #12286
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 21-year-old man with recurrent episodic wheeze during exercise presents immediately after an aerobic class with rapidly worsening dyspnoea and chest tightness. He is speaking in short phrases and has not used any inhalers today. Examination shows diffuse expiratory wheeze and prolonged expiration without cyanosis or exhaustion. What is the most appropriate immediate treatment in the emergency department?
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