Digoxin levels need to be monitored closely when the following medication is
... [Show More] started:
1
. Loratadine
2
. Diphenhydramine
3
. Ipratropium
4
. Albuterol
Albuterol
2. Patients with pheochromocytoma should avoid which of the following classes of drugs because of the possibility of developing hypertensive crisis?
1
. Expectorants
2
. Beta-2-agonists
3
. Antitussives
4
. Antihistamines
Beta 2-agonists
3. Stan, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should be used cautiously, if at all?
1
. Betamethasone, an inhaled corticosteroid
2
. Salmeterol, an inhaled long-acting beta-agonist
3
. Albuterol, a short-acting beta-agonist
4
. Montelukast, a leukotriene modifier
Salmeterol, an inhaled long-acting beta-agonist
4. Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to the:
1
. Risk of life-threatening dermatological reactions
2 Increased incidence of cardiac events when LTBAs are used
.
3
. Increased risk of asthma-related deaths when LTBAs are used
4
. Risk for life-threatening alterations in electrolytes
Increased risk of asthma-related deaths when LTBAs are used
5. The bronchodilator of choice for patients taking propranolol is:
1
. Albuterol
2
. Pirbuterol
3
. Formoterol
4
. Ipratropium
Ipratropium
6. Mathew is a 52-year-old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going to start the Atkin’s diet for weight loss. The appropriate response would be:
1
. Congratulate him on making a positive change in his life.
2
. Recommend he try stopping smoking instead of the Atkin’s
diet.
3
. Schedule him for regular testing of serum theophylline levels
during his diet due to increased excretion of theophylline.
4
. Decrease his theophylline dose because a high-protein diet
may lead to elevated theophylline levels.
Recommend smoking cessation
7. Marty takes theophylline for his persistent asthma and calls the office with a complaint of nausea, vomiting, and headache. The best advice for him would be to:
1
. Reassure him this is probably a viral infection and should be
better soon
2
. Have him seen the same day for an assessment and
theophylline level
3
. Schedule him for an appointment in 2 to 3 days, which he
can cancel if he is better
4
. Order a theophylline level at the laboratory for him
Schedule him an appointment in 2-3 days
8. Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1
. Used for the treatment of chronic obstructive pulmonary
disease (COPD)
2
. Used in the treatment of asthma
3
. Combined with albuterol for treatment of asthma
exacerbations
4
. Combined with fluticasone for the treatment of persistent
asthma
Tx for COPD
9. Angela has exercise-induced and mild persistent asthma and is prescribed two puffs of albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers includes:
1 Use one to two puffs of albuterol per day to prevent an
. attack with no more than eight puffs per day
2 Beclomethasone needs to be used every day to treat her
. asthma
3 Report any systemic side effects she is experiencing, such as
. weight gain
4 Use the albuterol metered-dose inhaler (MDI) immediately
. after her corticosteroid MDI to facilitate bronchodilation
Beclomethasone needs to be used every day
10. When prescribing montelukast (Singulair) for asthma, patients or parents of patients should be instructed:
1
. Montelukast twice a day is started when there is an asthma
exacerbation.
2
. Patients may experience weight gain on montelukast.
3
. Aggression, anxiety, depression, and/or suicidal thoughts
may occur when taking montelukast.
4
. Lethargy and hypersomnia may occur when taking
montelukast.
Watch for aggression, anxiety, depression, and suicidal toughts
11. Montelukast (Singulair) may be prescribed for:
1. A 6-year-old child with exercise-induced asthma
2. A 2-year-old child with moderate persistent asthma
3. An 18-month-old child with seasonal allergic rhinitis
4
. None of the above; montelukast is not approved for use in
children
2 year old child with moderate persistent asthma
12. The known drug interactions with the inhaled corticosteroid beclomethasone (QVAR) include:
1. Albuterol
2. MMR vaccine
3. Insulin
4
. None of the above
Insulin
13. When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:
1 They need to get any live vaccines before starting the
. medication.
2 Inhaled corticosteroids need to be used daily during asthma
. exacerbations to be effective.
3 Patients should rinse their mouths out after using the
. inhaled corticosteroid to prevent thrush.
4 They can triple the dose number of inhalations of
. medication during colds to prevent needing systemic
steroids.
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