Making a diagnosis of Asthma – Case based exam

Case-based Exam

To assess competence in making a diagnosis of Asthma, candidates are required to complete a summative multiple choice exam. You will have 45 minutes to answer 25 questions . The pass mark is 80%. If you do not meet the assessment criteria, don’t panic! You can resit as many times as you need.

During this exam, you will be assessed against the following learning outcomes: 

    • Assessing a patient with a potential diagnosis of Asthma; a symptom checklist and common asthma mimics.


    • Demonstrate evidence of variable airflow obstruction, using standard investigations; Spirometry and reversibility, PEF diary and FeNO


    • Confirming a diagnosis of Asthma, and use the Diagnostic Review appointment as an opportunity to check the accuracy of a diagnosis

The questions are presented through case studies, and each case study might span a series of questions. See below an example of how this Case Study and Question will sit on a page.

After each question, there might be a development in the case study; the original body of text for the Case study will be greyed out, and the additional information will be presented underneath. See below for an example:

During this exam, you will be required to make clinical decisions against the All-Wales Adult Asthma Diagnostic Guidelines. Please download a copy of this guideline on your computer or smart device, or print a copy.

All-Wales Adult Asthma Diagnostic Guidelines

National Delivery Plan, 2019

Click ‘Start quiz’ to get started. Your time limit will start immediately and will run continuously until 0:00. If you leave the page and return, the clock will not stop.

Once you have answered all the questions, you will be taken to an exam overview page where you will find your answers marked against the correct answers.

If you do not pass every question, you will be able to resit the exam.

© Institute of Clinical Science and Technology (ICST) 2020