Deck 28: Treatment of Asthma and Chronic Obstructive Pulmonary Disease

Question 1

How can a person with asthma easily test an impending asthma attack?

A)Use a peak flow meter.
B)Use an Accuhaler.
C)Use a nebulizer.
D)Use a glucose meter.

Answer 1

Use a peak flow meter.

Question 2

_____ is an example of an antimuscarinic,anticholinergic bronchodilator that is prescribed for short-term relief of asthma symptoms.

A)Albuterol
B)Ipratropium bromide
C)Prednisone
D)Salmeterol

Answer 2

Ipratropium bromide

Question 3

Which of the following is not a pharmacological treatment for COPD?

A)Albuterol
B)Tiotropium
C)Nadolol
D)Ipratropium

Answer 3

Nadolol

Question 4

A patient on _____ should be counseled that the packet of granules should be used within 15 minutes of opening.

A)zileuton
B)zafirlukast
C)montelukast
D)cromolyn sodium

Question 5

A patient calls the pharmacy and is unsure if he has any medication left in his inhaler.What can you tell the patient to do?

A)Get a refill.
B)Call your doctor.
C)Weigh it to determine if medication is in it.
D)Float the canister in water to determine if medication is in it.

Question 6

Theophylline is believed to work by _____.

A)increasing prostaglandin production,producing bronchodilation
B)increasing leukocytes,producing anti-inflammatory effects
C)stabilizing smooth muscle contraction by increasing calcium ion influx
D)stimulation of catecholamines,producing bronchodilation

Question 7

Of the following,which is classified as chronic obstructive pulmonary disease (COPD)?

A)Acute bronchitis
B)Chronic obstructive bronchitis
C)Chronic obstructive emphysema
D)Asthma

Question 8

b₂-Adrenergic agonists currently prescribed for the treatment of asthma include all of the following except _____.

A)ipratropium bromide
B)metaproterenol
C)terbutaline
D)levalbuterol

Question 9

Which of the following leukotriene antagonists must be taken on an empty stomach?

A)Montelukast
B)Zafirlukast
C)Zileuton
D)Zyflo

Question 10

Which of the following is not a characteristic symptom of asthma?

A)Airway constriction
B)Sneezing
C)Inflammation
D)Mucus

Question 11

Which of the following storage labels should be placed on a prescription for an inhaler?

A)Store above 78° F.
B)Keep refrigerated.
C)Store between 20° C and 25° C.
D)May keep refrigerated.

Question 12

Cromolyn sodium is primarily used for _____ symptoms.

A)prophylaxis of COPD
B)controlling COPD
C)controlling acute asthma
D)prophylaxis of asthma

Question 13

Which one of the following do people with COPD not exhibit?

A)Chronic persistent cough
B)Wheezing
C)Decreased sputum
D)Increased sputum

Question 14

Asthma can be managed using which of the following combinations?

A)Breathing exercises and home monitoring of breathing
B)Lifestyle modifications and breathing exercises
C)Medications and breathing exercises
D)Lifestyle modifications and medications

Question 15

Which of the following tests should be performed when taking zileuton?

A)Blood tests
B)Kidney function tests
C)Liver function tests
D)Lung function tests

Question 16

Which is the most prescribed rescue bronchodilator for asthma?

A)Terbutaline
B)Albuterol
C)Metaproterenol
D)Salmeterol

Question 17

What is the first-line of drug therapy for COPD maintenance?

A)Glucocorticoids
B)Bronchodilators
C)Antibiotics
D)Inhaled anticholinergics

Question 18

Which of the following explains how smoking can affect the effectiveness of theophylline?

A)Smoking decreases the half-life of theophylline by up to 50%,decreasing its effectiveness.
B)Smoking increases the effectiveness of theophylline and should be dosed accordingly for smokers.
C)Smoking increases the chances for adverse reactions to occur when taking theophylline.
D)Smoking further aggravates the condition theophylline is treating,preventing the drug from working.

Question 19

Why would ipratropium be effective therapy for COPD?

A)It acts as an agonist on cholinergic receptors,producing bronchodilation.
B)It blocks cholinergic receptors,producing bronchodilation.
C)It produces classic parasympathetic effects,producing bronchodilation.
D)It blocks cholinergic receptors,producing the classic sympathetic effect bronchodilation.

Question 20

Why is it important to include the following warning label on corticosteroid inhalation treatment: "Rinse mouth thoroughly after use"?

A)A residue is left behind after each inhalation,potentially causing an infection.
B)The pH change in the mouth after rinsing helps increase absorption of the drug.
C)Rinsing will reduce the chance of drug contamination.
D)Rinsing helps keep the mouth minty fresh.

Question 21

Why would taking a xanthine derivative be contraindicated in a patient with peptic ulcer disease?

A)Xanthines decrease catecholamines,further aggravating a peptic ulcer.
B)Theophylline neutralizes the enzymes necessary to metabolize xanthines.
C)Theophylline inhibits prostaglandin synthesis.
D)Xanthines prohibit the elimination of theophylline.

Question 22

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Fluticasone

Question 23

Omalizumab is administered by which route of administration?

A)Oral inhalation
B)Intravenous injection
C)Subcutaneous injection
D)Intranasal

Question 24

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Budesonide

Question 25

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Salmeterol

Question 26

When would a monoclonal antibody drug be used for the treatment of asthma?

A)As additional drug therapy when asthma is not controlled with other inhalation therapy
B)As treatment for chronic symptoms of asthma
C)As treatment for acute symptoms of asthma
D)As a last resort medication for those who do not respond to any other medications

Question 27

Why is it important not to switch manufacturers of theophylline once a patient has established a good drug response to it?

A)The additives from the various manufacturers have shown to increase hypersensitivity to the drug.
B)The bioavailability differs from manufacturer to manufacturer.
C)The coloring used by different manufacturers has shown to increase side effects in some patients.
D)The half-life for theophylline varies greatly from manufacturer to manufacturer,so dosing may need to be adjusted.

Question 28

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Albuterol

Question 29

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Zafirlukast

Question 30

Which of the following drugs does not have a black box warning?

A)Theophylline
B)Misoprostol
C)Omalizumab
D)Alosetron

Question 31

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Omalizumab

Question 32

MATCHING
Match the following trade names and generic drug names.
a.Serevent Diskus
b.Pulmicort
c.Ventolin
d.Accolate
e.Flovent Diskus
f.Xolair
g.Tilade
Arformoterol