Which statement about asthma attacks is true?

• A. The condition is not influenced by environmental factors.
• B. Stress can initiate an asthma attack.
• C. An attack never causes coughing or wheezing.
• D. Oxygen levels never fall during an episode.

Answer: (B)

Asthma attacks are triggered by a range of factors that increase airway hyperresponsiveness, and emotional or psychological stress is one of the recognized triggers. When someone with asthma experiences stress or anxiety, the body’s stress response can tighten the airways and amplify inflammation, making bronchial smooth muscle more prone to constrict. That is why stress can precipitate symptoms like coughing, wheezing, and shortness of breath during an attack. In a dental setting, where patients may feel anxious, this link is particularly important: calming the patient, recognizing signs of distress early, and having quick access to a reliever inhaler can help prevent a full-blown attack.

Environment matters for asthma because exposure to allergens, irritants, smoke, strong odors, or temperature changes can all provoke symptoms. Saying environmental factors have no influence is inaccurate, since these triggers are well documented in asthma management. An attack often does involve coughing and wheezing, so the statement that it never causes these sounds is not true. And while some episodes are mild, severe attacks can reduce oxygen levels, so the idea that oxygen never falls during an episode is also incorrect.