exam 4 - quiz answers
. 6 y/o presents with intermittent episode of wheezing. Expiratory wheezing. No rales or rhonchi. Responds to albuterol well and is cooperating with her medicine. Which is the best way to test to see if her therapy is working properly? A.Peak Expiratory Flow Rate B. respiratory rate C. pulse oximetry D. Blood pressure
A
. Which of the following agents is an antitussive? A. Benzonatate B. Tiotropium C. Guaifenesin D. Promethazine E. Aprepitant
A
1. 6. A 25-year-old known asthmatic presents with an exacerbation. Nebulizer treatment with albuterol is begun. Which test would be most useful to evaluate and monitor through treatment? A. Peak expiratory flow rate B. Methacholine challenge test C. Complete blood cell count with differential D. Chest x-ray E. Pulse oximetry
A
1. 9. Which one of the following medications treats both asthma and allergic rhinitis? A. Montelukast B. Albuterol C. Salmeterol D. Tiotropium
A
1. A 5-year-old boy is brought to the clinic by his parents who say that he often has trouble catching his breath when he has been playing hard outside. He is allergic to peanuts. At the moment, he is breathing fine. Which of the following drugs would be used to dilate his bronchioles in an acute asthma attack? A. Albuterol B. Fluticasone C. Cromolyn D. Methacholine
A
1. An 18-year-old patient complains of wheezing and chest tightness during basketball practice. She had asthma as a child but has "outgrown" it and does not report any day or nighttime symptoms consistent with asthma. Which of the following is the most appropriate? A. She should be started on two inhalations of albuterol prior to basketball practice B. She should be started on once nightly montelukast 10 mg prior to basketball season C. She should be told she still has asthma and take regular inhaled corticosteroids D. She should stop playing basketball and try swimming
A
13 y/o Hx of severe asthma that is refractory to combination drug therapy involving daily SABA & LABA & medium dose corticosteroid. What other options are there? A. Add tiotropium (over age 5) B. Add cromolyn C. Add acetylcysteine D. Add Xolair (Omalizumab)
A
13 y/o patient with history of severe asthma is refractory to combo of SABA and LABA + inhaled corticosteroid. Which of the following is the next option for her? A.Change to high dose inhaled steroid B. add cromolyn C. add acetylcysteine D. Add Xolair (Omalizumab)
A
16 y/o with asthma from seasonal pollens is having recurring symptoms 2 times a month. Which injection of monoclonal will help? A. immunoglobulin E B. leukotriee c4 C. major basic protein D. Histamine E. Interleukin-2
A
COPD controlled w/ triotropium & albuterol. Not good enough. What is the most appropriate to add? A. Formoterol 23mcg inhalation every 12hr B. Prednisone 30 mg PO BID x 7 days C. Ipratropium 18 mg 2 inhalations every 6 hours D. Fluticasone 400mg inhalation once daily E. All of the following are appropriate additions to her regimen
A
Mrs. S has COPD, smokes a pack a day (one pack year) for cigarettes and is diagnosed with chronic bronchitis. What is the first line drug of choice for her? A.Inhaled Bronchodilators B. inhaled corticosteroid C. Methylxanthines D. Bronchodilator steroid combination E. Leukotriene inhibitor
A
Which drugs are used on a daily basis would be most effective for the management of mild, persistent asthma? A.Inhaled fluticasone B. inhaled cromolyn C. oral montelukast D. Oral Theophylline E. all are equal choices
A
Which is an INCORRECT statement to a pt regarding the use of their metered-dose inhaler for asthma? A. You should inhale before using the inhaler B. Place lips firmly around mouthpiece C. Hold your breath for 8-10 seconds after using inhaler D. wait 1-2 minutes between puffs E. Shake your inhaler
A
Which of the following statements is FALSE regarding misoprostol? A. Misoprostol is the drug of choice for treating peptic ulcer disease B. Misoprostol is limited by a high frequency of GI side effects C. Misoprostol is contraindicated in pregnancy D. Misoprostol is indicated for reducing the risk of NSAID-induced gastric ulcer
A
1. 2. A 35-year-old man has all of his asthma medications with him today. Which of the following is duplication of therapy? A. Montelukast and budesonide/formoterol B. Budesonide/formoterol and salmeterol C. Budesonide/formoterol and tiotropium D. Albuterol and prednisone
B
12 y/o female athlete, Hx of mild, persistent asthma. Which drug used used on a daily basis could be a preventive/prophylactic measure in the management of her asthma? A. Acetylcysteine (mucolytic) B. Cromolyn (bc anti-inflammatory, the only anti-inflammatory) C. Ipratropium bromide D. Metaproterenol E. Omalizumab
B
13 y/o pt with history of severe asthma, refractory to combo drug therapy involving daily SABA and low dose ICS. Which of the following should be added? A.Add an additional bronchodilator B. Change to a high dose inhaled steroid C. add cromolyn D. Add Acetylcysteine E. Xolair (Omalizumab)
B
22. Baby S is 34 weeks gestational age. He is a premature male with apnea. Which of the following is used for management of apnea in prematurity? A. Aminophylline B. caffeine C. Zafirlukast D. Theophylline
B
Drug class that the provides the most immediate relief of an acute asthmatic attack A. Inhaled anticholinergics B. Inhaled beta agonists C. Injected methylxanthines D. injected corticosteroids
B
Pick therapy from choices below that is best limited only to patients with concurrent AR and allergic asthma. A. Oral mucolytics B. Sub-Q omalizumab (only time you can use this drug) C. Intranasal ipratropium D. Oral psueodephedrine E. Intranasal cromolyn
B
Select the group of drugs that are listed in increasing order of their duration of action (shortest to longest)? A. Salmeterol (Serevent), albuterol (ventolin), tiotropium (shiriva) B. Albuterol, salmeterol, tiotropium C. Albuterol, tropium, salmeterol D. Tiotropium, Albuterol, Salmeterol
B
Which of the following combination cough and cold products are available as an OTC product? A. Robitussin AC B. Robitussin DM C. Phenergan with codeine D. Tussionex (Hydrocodone/Chlorpheniramine)
B
Which of the following drugs is useful in the clinical management of GI hypermotility? A. Bisacodyl (Dulcolax) B. Dicyclomine (Bentyl) C. Metoclopramide (Reglan) D. Pantoprazole (Protonix)
B
Which of the following is an adverse effect of tiotropium? A. Hypokalemia B. Dry mouth C. Insomnia D. irritability E. Seizures
B
Which of the following is true about roflumilast? A.It is best started in patients with mild COPD B. It is best used in severe COPD not adequately managed with inhalers C. it should not be used in combination with bronchodilators D. It should only be used in combination with Theophylline E. It doesn't reduce exacerbations of COPD
B
Which of the following statement(s) about Metoclopramide (Reglan) is/are true? A. With long-term use has been associated with increased risk of bone fractures and hypomagnesemia B. Increases peristaltic activity in the gastrointestinal tract without stimulating gastric, biliary, or pancreatic secretions C. Activity is the result of formation of an ulcer adherent complex that covers ulcer site D. When used with NSAIDs (non-steroidal antiinflammatory drugs) may decrease the risk of ulcers and GI complications
B
Which therapy should be used during acute exacerbations of COPD based on strong clinical evidence? A.Theophylline B. prednisone C. formoterol D. Anti-tumor necrosis factor a (TNFa) therapies E. Roflumilast
B
. Which of the following statements regarding pathophysiology of COPD is true? A. All patients with COPD have a deficiency in circulating alpha-1 antitrypsin B. Oxidants lead to airway relaxation C. The major site of airflow obstruction is the peripheral airways D. The inflammation is mediated primarily through eosinophils and mast cells E. Chronic bronchospasm is primarily responsible for pathologic changes
C
.Bronchodilator of choice in acute management of asthma (and what about COPD? should know this too) A.Epinephrine B. isoproterenol C. Albuterol D. Salmeterol E. theophyline
C
1. . A 23-year-old patient comes into clinic for asthma follow-up. Which of the following would be concerning about the patient's use of albuterol HFA MDI? A. She primes her inhaler prior to the initial use B. She uses 2 inhalations prior to beginning exercise C. She uses 2 canisters of albuterol in 1 month D. She waits 30 seconds between each inhalation
C
1. 10. Which of the following is the most likely adverse effect of indacaterol? A. Seizures B. Bradycardia C. Hypokalemia D. Urinary retention
C
1. 3. Which of the following drugs has been associated with hepatic toxicity as an adverse effect? A. Corticosteroids B. Cromolyn C. Leukotriene modifiers Zafirlukast & Zileuton D. Methylxanthines
C
1. 7. Which of the following inhaled agents is most likely to cause oral candidiasis? A. Albuterol B. Cromolyn C. Mometasone D. Formoterol E. Ipratropium
C
1. A 32-year-old man with a history of opioid addiction presents with cough due to a viral upper respiratory system infection. Which is appropriate symptomatic treatment for cough in this patient? A. Guaifenesin/codeine B. Guaifenesin/dextromethorphan C. Benzonatate D. Montelukast
C
1. A 65-year-old woman with emphysema is seen in clinic today for a checkup. Her current COPD pharmacotherapy includes tiotropium 18 mcg once daily and albuterol MDI every 4 hours as needed. She is adherent with medications and uses her inhalers correctly. She reports increasing albuterol use over the last 3 months due to increased breathlessness; she denies any recent changes in sputum purulence or volume. Her CAT score today is 23 (compared to 18 three months ago) and she has not had any exacerbations in the last 3 years. Which of the following is the most appropriate change to her current treatment regimen? A. Add fluticasone/salmeterol 500 mcg/50 mcg, one inhalation every 12 hours B. Add methylprednisolone 60 mg intravenously every 6 hours C. Discontinue tiotropium and start umeclidinium/vilanterol 62.5 mcg/25 mcg, one inhalation daily D. Add roflumilast 500 mcg orally every 24 hours
C
1. A 75-year-old man with severe COPD currently treated with tiotropium, formoterol/budesonide, and an albuterol MDI as needed presents to the clinic complaining of a more frequent cough, increased sputum production, and change in sputum color. The last time he had symptoms like these was 6 months ago, and at that time he was hospitalized for 3 days. After being diagnosed with a COPD exacerbation and continuing his current maintenance therapies, which of the following is the most appropriate initial treatment recommendation? A. Theophylline 300 mg orally every 12 hours B. Ipratropium two inhalations every 6 hours C. Doxycycline 100 mg orally every 12 hours D. Mometasone 220 mcg inhalation every 12 hours
C
1. The bronchodilator drug that would provide the longest duration of action is? A. Epinephrine (adrenaline) B. Ipratropium C. Salmeterol (Serevent) D. theophyline (Elixiphyline)
C
H. pylori infection can best be eradicated with which of the following? A. Dual therapy consisting of a PPI and amoxicillin B. A five-drug regimen consisting of a PPI, three antimicrobials, and bismuth C. A triple-drug regimen consisting of a proton pump inhibitor (PPI) and two antimicrobials
C
Parasympathetic activation of the respiratory tract causes what? A. Bronchodilation B. Increase cyclic CMP C. Increased mucus secretion D. Stimulation of the beta-r receptors
C
Principle advantage of DPI over MDI with or without holding chamber? A.DPI's produce smaller particles tus enhancing delivery B. inhaled corticosteroid administered by DPIs causes topical adverse effects (thrush) C. DPIs do not require coordination of activation of the inhaler and inhalation D. DPI's produce larger particles thus enhancing delivery E. None of the above
C
Pt with severe persistent asthma has acute exacerbations. He was prescribed 5 days oral prednisone... A.Patients with severe strep and asthma should never use oral steroids for maintenance B. oral steroids can cause many problems including lowered blood glucose C. short term use of prednisone is not associated with decreased bone density D. The dose should be tapered off from QID to daily over the 5 days E. Oral steroids reduce appetite and cause anorexia F. All of the above
C
What is the mechanism of action of famotidine? A. Irreversibly binds to parietal cells which blocks the final step in acid production B. Irreversibly inhibits the histamine-2 receptors on the parietal cells C. Reversibly inhibits the histamine-2 receptors on the parietal cells D. Neutralizes pepsin via hydroxylation
C
What is the mode of action for cromolyn sodium (aka Intal) ? A.Produce bronchodilation B. increase expectoration of mucus C. Inhibit the release of mast cell mediators D. Liquefy bronchial secretions
C
Which involves destruction of the aveoli A. Chronic bronchitis B. Asthma C. Emphysema D. all of the above
C
Which of the following drug classes provides the most effective relief from GERD symptoms? A. H2RAs B. Prokinetics C. PPIs D. Antacids
C
Which of the following is/are true regarding the efficacy in increasing gastric pH (most effective to least effective)? A. Sucralfate > Ranitidine > Calcium carbonate B. Famotidine > Rabeprazole > Aluminum hydroxide C. Lansoprazole > Nizatidine > Calcium carbonate D. Esomeprazole > Magnesium hydroxide > Cimetidine
C
. Asthma is a respiratory condition best characterized by? A. Degenerative changes in the respiratory lining B. Mucosal edema C. Increased respiratory secretion D. bronchoconstriction and inflammation
D
1. . A mother contacts the outpatient clinic stating that her 8-year-old son is having an asthma attack. She has given him two treatments of 2.5 mg of albuterol by nebulizer 20 minutes apart without relief. He continues to sit very still, leaning forward slightly, and only gives one-word answers to her questions. Which of the following would be the most appropriate next step? A. Prescribe salmeterol (Serevent) 2 inhalations every 12 hours B. Prescribe a 5-day course of prednisone and follow up the next morning C. Instruct the mother to add ipratropium 0.5 mg to the next two nebulizer treatments and then call back D. Send him to the emergency department or call 9-1-1 for transport and further evaluation E. Instruct the mother to give two additional nebulizer treatments in 20 minutes and then call back
D
1. . Rochelle is an 8-year-old white female newly diagnosed with asthma of a moderate severity. Which of the following would be considered the most beneficial for the long-term control therapy of Rochelle's asthma? A. Daily oral montelukast B. Inhaled salmeterol as needed C. Daily oral theophylline D. Daily Inhaled beclomethasone
D
1. 5. Which of the following medication classes has a boxed warning regarding an increased risk of asthma-related deaths when used as monotherapy? A. Short-acting beta-2 agonists B. Inhaled corticosteroids C. Leukotriene modifiers D. Long-acting beta-2 agonists E. Theophylline
D
1. 8. Your 30-year-old patient has moderately severe new onset asthma, and you prescribe a highly selective β2 agonist inhaler to be used when needed. In considering the possible drug effects in this patient, you would note that β2 stimulants frequently cause: A. Hypoglycemia B. Direct stimulation of renin release C. Vasodilation in the skin D. Skeletal muscle tremor
D
1. A 63-year-old man presents to clinic complaining of chronic cough and sputum production and shortness of breath with activity. PFTs completed prior to his visit show an FEV1/FVC ratio of 68% (0.68) and FEV1 65% of predicted. His CAT score is 12. He has not had any exacerbations. Which of the following would be most appropriate as the initial regimen for COPD? A. Ipratropium/albuterol four times a day B. Albuterol as needed C. Budesonide/formoterol twice a day D. Umeclidinium once a day
D
1. Parasympathetic activation of the respiratory tract causes which of the following? A. Increased cyclic AMP B. Stimulation of the beta-2 receptors C. Bronchodilation D. Increased mucus secretion
D
14 y/o males comes in for an asthma follow up. His symptoms occur 3-4 days/week causing him to sit out in gym class. He is currently using a SABA. What should be added to his medications? A.Inhaled long acting B2-agonist B. leukotriene receptor antagonist C. long-acting inhaled corticosteroid D. Low dose inhaled corticosteroid E. low systemic corticosteroid
D
23 y/o with asthma takes only as needed albuterol (2-3 times per month). She is beginning to start experiencing more symptoms what is the next step of action? A. Continue her current therapy and check her inhaler technique B. Begin her on inhaled long acting B2 agonist at night C. Begin heronadose of sustained-release theophylline at night D. Begin her on a regular low dose inhaled corticosteroid therapy
D
27 y/o discharged from ED after treatment of acute severe asthma attack. Which is appropriate for patient on discharge? A.Inhaled short acting B2 agonist B. restart the pt on maintenance medications C. A 3 10-day course of oral systemic corticosteroids D. All of the above
D
37. The drug Roflumilast: A. Is a mast cell release inhibitor B. Indicated as an alternative to montelukast in asthma pts > 12 yrs at step 3 C. Has revolutionized the treatment of COPD D. has a common side effect of weight loss E. both A & B
D
43. Which of the following inhaled agents can cause oral candidiasis? A. Albuterol B. Formoterol C. Ipratropium D. Mometasone
D
All of the following are appropriate pt education for COPD except: A.Smoking Cessation counseling B. role of healthy eating and exercise habits C. end of life issues and resuscitation wishes D. When to quit taking medications as symptoms improve E. signs and symptoms of an exacerbation
D
Drug for treatment of asthma that works by blocking leukotriene receptor is: A.Fluticasone B. Cromolyn C. Albuterol (proventil) D. Monetlukast (Singulair)
D
Leukotriene modifiers are used in the management of something something something... A.Are indicated for prophylaxis and acute treatment B. - C. are available as oral agents D. B and C E. all of the above
D
Mrs. S is a 38 year old white female with a history of asthma who has been using beta adrenergic agonists for several years to control her asthna. Of recent, Mrs. S has been diagnosed with heart something and hypertension. In order to something heart failure and hypertensions carvedilol therapy was initiated. (Sorry i tried) 16. Which of the following is the most likely consequence from this therapy? A.The carvedilol alleviated the HF and the HTN but not Mrs. S's asthma symptoms B. the carvedilol worsened the HTN but his asthma improved C. the expiratory component of the patient's flow/volume curve was shortened D. The carvedilol alleviated Mr. S's hypertension and HF but increased his airway Obstruction E. Carvedilol was ineffective for both hypertension and HF and Mr. S was placed on Propanolol
D
Preferred therapy for asthma with mild intermittent symptoms? A.Daily low dose inhaled anti-inflammatory corticosteroids B. high dose inhaled corticosteroid and LABA bronchodilators C. daily treatment with low to moderate dose inhaled corticosteroids and inhaled selective Beta agonist D. No medications on a daily basis, but patient should carry a SABA for oral inhalation, for any sudden onset of symptoms
D
Proton pump inhibitors can increase the risk of: A. Pancreatitis, C. difficile, and stroke B. Gastric carcinoma, hypothyroidism, and pneumonia in hospitalized patients C. Myocardial infarction, hypermagnesemia, and bone fractures D. Hypomagnesemia, bone fractures, and C. difficile E. C. difficile, myocardial infarction, and bone fractures
D
Pt using predisone 20 mg PO daily for past month post discharge from COPD exacerbation. Why taper corticosteroids? A.They can cause rebound HTN if stopped abruptly B. they can cause psychological dependence and withdrawal symptoms if tapered too quickly C. they can cause seizures to occur if stopped abruptly D. They can cause hypothalamic pituitary adrenal axis suppression E. they can be bizarre, psychiatric behavior or stopped abruptly
D
The attending in an outpatient pulmonary clinic states she is going to start a patient on omalizumab therapy for 19 y/o with asthma. What describes actions, uses and adverse effects of this drug? A. Antibody that binds and therefore inactivates endogenous acetylcholine and histamine B. Contraindicated in pt taking PO or orally inhaled corticosteroid C. Good alternative albuterol similar adrenergic bronchodialators for rescue therapy D. Immediate or delayed onset anaphylactic reactions pose the greatest risk E. novel agent likely to becomes first-line therapy as a control med for mild but recurrent asthma
D
The pharm actions of theophylline (TheoDur) in the Tx of COPD include A. Bronchodilation B. Increase contractility of respiratory muscles C. Increased mucociliary activity D. all of the above
D
Which has been associated w/ hepatic toxicity as an adverse effect? A. Corticosteroids B. Selective B2 agonist C. Methylxanthines D. Leukotriene modifiers Zafirlukast & Zileuton E. Cromolyn
D
Which of the following adverse reactions is associated with increased theophylline concentration? A.Oral Candidiasis B. paradoxical bronchospasms C. respiratory tract infection D. Tachycardia
D
Which of the following drugs are considered to be mucolytic (make sure you know the difference between mucolytic and expectorant!) A.Ipratropium B. Pseudoephedrine C. dextromethorphan D. Acetycysteine E. Guaifenesin
D
Which of the following medications is thought to have a significant drug interaction in patients taking clopidogrel which can cause a decrease in the effectiveness of clopidogrel? A. Dicyclomine B. Calcium carbonate C. Sucralfate D. Omeprazole E. Famotidine
D
Which one blocks leukotriene? A.Roflimulast D. Montelukast
D
1. 2. Which of the following is an adverse effect of tiotropium? A. Insomnia B. Seizures C. Hypokalemia D. Irritability E. Dry mouth
E
8 y/o female diagnosed w/ persistent asthma of moderate severity. Which of the following would be considered the most beneficial for the long-term control therapy of her asthma? A. Inhaled salmeterol B. Oral theophylline C. Oral Montelukast D. oral prednisone E. Inhaled budesonide
E
Chemical indicators involved in asthma include... A.Prostaglandins B. Histamine C. eosinophilic chemotactic factor of anaphylaxis (ECF-A) D. Leukotrienes (i have a note as this as the correct answer) E. All of the above
E
Corticosteroids are used in the treatment of asthma in which of the following ways? A.Increasing activation of arachidonic acid B. inhibiting the release of inflammatory mediators C. decrease the production of allergic antibodies D. Increasing the activity of inflammatory cells E. B and C
E
What is the mechanism of action of magnesium hydroxide when used for heartburn? A. Inhibits (irreversibly) the histamine-2 receptors on the parietal (acid-producing) cells B. Irreversibly binds to parietal cells; blocks final step in acid production C. Neutralizes pepsin via hydroxylation D. Inhibits (reversibly) the histamine-2 receptors on the parietal (acid-producing) cells E. Neutralizes acid in a buffering reaction (producing salt & water)
E
Which of the following drug classes has been clearly demonstrated to modify the long term decline in lung function? A. Inhaled beta-agonist B. Inhaled anticholinergics C. Inhaled corticosteroids D. Systemic corticosteroids E. None of the above
E
1. Which histamine receptor is located on both bronchiolar smooth muscle and intestinal smooth muscle & is used to mediate allergic reactions A. H1 B. H2 C. H3 D. H4 E. H5
H1
Med classes has a boxed warning regarding an increase rick of asthma related deaths as monotherapy
LABAs
drug class that provides most immediate relief of acute asthma attack
SABA
Which of the following drugs are considered to by mucolytic: know difference between mucolytic and expectorant
acetylcysteine (only one that exists in US)
Same question above, are there any new options in 2019
add tiotropium
Xanthines such as theophylline: may have an effect on
airway inflammation mediated by increased interleukin-10 release and phosphodiesterase inhibition
Bronchodilator of choice in acute management of an asthma attack
albuterol
Select the group of drugs that are listed in increasing order of their duration of action (shortest to longest
albuterol salmeterol tioproprium
Which of the following agents is antitussive (cough suppressant
benzonatate
1. 4. Xanthines such as Theophylline: A. Are still considered "first-line" agents in the treatment of COPD B. Can be safely used in standard doses with P450 inhibitors of hepatic metabolism C. May have an effect on airway inflammation mediated by increased Interleukin-10 release & phosphodiesterase inhibition D. Decrease renal blood flow and gastric acid secretion
c
Been using beta-agonist for several years, now diagnosed with heart failure and HTN, high dose carvedilol initiated, what is the most likely consequence
carvedilol alleviated HTN and HF but increased his airway obstruction
13 y/o with severe asthma, proven to be refractory to combination therapy including daily SABA and LABA medium-dose inhaled corticosteroid, next most purulent change in drug therapy
change to high-dose inhaled steroid
Omalizumab for 19 y/o with asthma, what most accurately describes the actions, uses, and adverse effects of this drug
immediate or delayed onset anaphylactic reaction pose the greatest risk
actions of theophylline in the treatment of COPD
increased mucocilliary activity, increased contractility of respiratory muscles, and bronchodilation (all of the above)
parasympathetic activation of resp tract
increased mucus secretion
27 y/o being discharged form ER after treatment of acute sever asthma attack, which is most appropriate for this patient upon discharge
inhaled SABA, restart patient on maintenance meds, and a 3-day course of oral systemic corticosteroids (all of the above)
Smoker has been diagnosed with chronic bronchitis, first line drug of choice
inhaled bronchodilator
12 y/o female athlete, mild persistent asthma, which of following on daily basis would be expected to be most effective choice
inhaled fluticasone
mechanism of action of cromolyn sodium
inhibit release of mast cell mediators
Which of the following is true about roflumilast
it is best used in severe COPD not adequately managed with inhalers
Which of following drugs has been associated with hepatic toxicity as an adverse effect
leukotriene and zafirlikast and ...
14 y/o with four days a week and awakens from sleep three times a month requiring SBA. Occasionally has to sit out gym class, what is the preferred agent to add to regiment:
low-dose inhaled corticosteroid
Which of the following inhaled agents is most likely to cause oral candidiasis
mometasone
Which of the following blocks action of leukotrienes and can be used long term control of mild persistent asthma in 4 y/o
montelukast
drug used in treatment of asthma that works by blocking leukotriene receptor:
montelukast
preferred for asthma mild/intermittent symptoms
no med on a daily basis, bit patient should carry SABA b-agonist for oral inhalation for any sudden onset of symptoms
Drug classes has been clearly demonstrated to modify the long-term decline in lung function in COPD
none of the above
Which is true regarding the use of systemic corticosteroids in the treatment of asthma
oral route preferred
6 y/o with episodes of wheezing, exam reveals expiratory wheezing, no rales or rhonci. Responds well to albuterol, which of the following is the most effective method of self-evaluation at home
peak expiratory flow rate
Which therapies should be used during acute exacerbation of COPD based on strong clinical evidence
prednisone
Which of following combination cough and cold products are available as an OTC product
robitussin DM
bronchodilator drug that would provide longest duration of action
salmeterol
Severe, persistent asthma had acute exasperation; prescribed a short course (5 days) or oral prednisone; choose correct statement
short-term use of prednisone is not associated with decreased bone mineral density
Which of following has adverse reactions associated with elevated theophylline concentrations
tachycardia
Using prednisone PO daily for past months from post discharge from recent COPD exacerbation, prescriber wants to taper, what is the reason corticosteroids must be tapered:
they can cause hypothalamic pituitary adrenal axis suppression (HPA suppression)
Drug roflumilast: has a common side effect of
weight loss
