6-year Poorly Controlled Asthma in Pediatrics — 10yo Child | Pediatric Respiratory | SMLE Q#330

SMLE Question #330

Pediatrics Pediatric Respiratory
Last updated: February 2026
A 10-year-old boy with a 6-year history of poorly controlled asthma is seen for routine follow-up. He has daily cough, nocturnal symptoms 3–4 times weekly, and uses a short-acting beta-2 agonist several times daily. He has had multiple exacerbations requiring oral corticosteroids over the past 2 years. Examination shows hyperresonant percussion and decreased breath sounds bilaterally, without acute distress. Which of the following is the most likely chronic pulmonary complication of long-standing, poorly controlled asthma in this child?

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