Spasm of bronchiolar smooth muscle -asthma is the presence of bronchiolar spasms. this spasm can be brought on by allergies or anxiety. answer choice bronchiolar inflammation and dyspnea is incorrect because the primary physiological alteration is not inflammation. answer choice hypersecretion of abnormally viscous mucus is incorrect because there is the production of abnormally viscous mucus, not a primary alteration. answer choice infectious processes causing mucosal edema is incorrect because infection is not primary to asthma.