Oral decongestants should be discouraged in patients with
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A. migraines
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B. allergic rhinitis
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C. cardiovascular disease
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D. chronic
... [Show More] bronchitis
C. Cardiovascular disease
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A 19 year old asthmatic is admitted to the ED in severe bronchospasm. The
NP should order:
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A. nebulized beta 2 agonist
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B. a salmeterol type inhaled agonist
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C. an oral beta 2 agonist
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D. an inhaled corticosteroid
A. nebulized beta 2 agonist
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Regarding the use of long acting beta 2 agonists (LABAs), which of the
following is NOT true?
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A. LABAs enhance the anti inflammatory actions of corticosteroids
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B. Use of LABAs is associated with small increase in risk of asthma death
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C. LABA use reduces the risk of asthma exacerbations
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D. LABAs can be used as monotherapy to relieve bronchospasms in asthma
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D. LABAs can be used as monotherapy to relieve bronchospasms in asthma
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The antitussive dextromethorphan suppresses the cough reflex by:
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A. Direct action on the cough center
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B. Anesthetizing the alpha receptors
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C. Causing CNS depression
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D. Decreasing the viscosity of the bronchial sec
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A. Direct action on the cough center
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Your new 10 year old patient has asthma, and you decide to treat her with a
Beta 2 agonist. In considering the possible drug effects in the patient, you
would note the Beta 2 stimulants frequently cause:
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A. Direct stimulation of the renin system
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B. Hypoglycemia
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C. Increased Histamine release
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D. Increased pulse rate
D. Increased pulse rate
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Tiotropium bromide is an inhaled anticholinergic:
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A. Used for the treatment of COPD
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B. Used in the treatment of asthma
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C. Combined with albuterol in the treatment of asthma
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D. Combined with fluticasone for the treatment of persistent asthma
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A. Used for the treatment of COPD
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Christy has exercise induced and mild persistent asthma and is prescribed 2
puffs of albuterol 15 minutes before exercise and as needed for wheezing. One
puff per day of beclomethasone is also prescribed. Education regarding her
inhalers includes:
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A. Use 1 2 puffs of albuterol per day to prevent an attack with no more than 8
puffs per day
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B. Beclomethasone needs to be used every day to treat her asthma
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C. Use the albuterol MDI immediately after her corticosteroid MDI to
facilitate bronchodilation
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D. Beclomethasone needs to be given 10 minutes prior to exercise
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B. Beclomethasone needs to be used every day to treat her asthma
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Montelukast may be prescribed for:
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A. A 5 year old child with exercise induced asthma
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B. A 2 year old child with moderate persistent asthma
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C. An 18 month old child with seasonal allergic rhinitis
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D. None of the above. Montelukast is not approved for children
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B. A 2 year old child with moderate persistent asthma
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A common adverse reaction when using codeine based antitussives is:
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A. HTN
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B. Headache
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C. Insomnia
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D. Constipation
D. Constipation
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Which medication is most likely to cause bronchoconstriction in an asthma
patient?
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A. Enalapril
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B. Fexofenadine
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C. Carvedilol
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D. lopressor
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C. Carvedilol
How do H1 and H2 receptors differ?
A. H2 play a role in secretion of gastric acid; H1 receptors play a role in
vasodilation and bronchoconstriction
B. H1 play a role in secretion of gastric acid; H2 play a role in sleep wake cycle
C. H1 play a role in secretion of gastric acid; H2 play a role in vasodilation and
bronchoconstriction
D. H1 play a role in vasodilation and bronchoconstriction; H2 play a role in
sleep wake cycle
A. H2 play a role in secretion of gastric acid; H1 receptors play a role in
vasodilation and bronchoconstriction
What are the adverse effects of first generation H1 antagonist? Check all that
apply.
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dry mouth
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Constipation
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Fatigue
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Confusion
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Hallucinations in children
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dry mouth
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Constipation
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Fatigue
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Confusion
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Hallucinations in children
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What is the advantage of using a second generation H1 antagonist rather than
a first generation HI antagonist?
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A. They cross the blood brain barrier easily
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B. They are virtually void of all anticholinergic actions
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C. They produce more sedation than first generation agents and can be used
for sleep
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D. They have less risk of causing flushing
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B. They are virtually void of all anticholinergic actions
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Which of the following are second generation H1 antagonists? Check all that
apply.
•
diphenhydramine
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Cetirizine
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Fexofenadine
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Levocetirizine
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Loratadine
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dextromethorphan
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Cetirizine
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Fexofenadine
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Levocetirizine
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Loratadine
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Susie has been on prednisone 60 mg for 10 days for COPD exacerbation.
Does she need a steroid taper?
Yes, decrease by 10 until at 10 then 5 then stop [Show Less]