Respiratory Medicine MCQ for NEET PG & FMGE

A 52-year-old male presents with recurrent episodes of dyspnea, chest tightness, and cough for 8 years, occurring every spring and self-resolving. The current episode has lasted 2 days and is worsening. Physical exam: bilateral diffuse wheezes, heart rate 79/min, regular rhythm, no murmurs. The most likely diagnosis is:

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