Asthma Quiz Flashcards
(26 cards)
Xanthine derivatives may produce the following except:
A.Bronchodilation
B.Diuresis
C.Stimulation of the heart rate
D.Depression of the respiratory center
D
A patient was suffering an acute asthma attack, which of the following medication will relieve patient asthma immediately?
Montelukast
Cromolyn
Formoterol
Albuterol
Albuterol
A potential problem of inhaled corticosteroid:
staining of teeth
Candidiasis
Excessive salivation
Oropharyngeal candidiasis
Oropharyngeal candidiasis
Cromolyn sodium acts by:
Destroying histamine
Biotransforming histamine
Releasing histamine
Preventing the release of histamine
Preventing the release of histamine
Which of the following statement is not true?
Theophylline has a narrow therapeutic index.
It is the most effective bronchodilator of the xanthine group.
It has a greater diuretic effect.
All methylxanthine causes mild cortical arousal with increased allertness.
It has a greater diuretic effect
When educating a patient prior to initiating inhaled corticosteroid, which instruction is most important?
Exhale immediately after inhaling the dose
Use half of 1 dose if experiencing dry mouth
Expect an increase susceptibility to influenza
Rinse your mouth with water or mouthwash after administration
Rinse your mouth with water or mouthwash after administration
Which of the following drugs would most likely be used in the treatment of bronchospasm that is associated with COPD.
Montelukast
Cromolyn
Epinephrine
Ipratropium
Ipratropium
Potential side effect of inhaled corticosteroids:
Canker sore
Excessive salivation
Staining of teeth
Throat irritation
Staining of teeth
Acute exacerbations of asthma can be triggered by all of the following, except:
Stressful emotional event
Hot, dry weather
Viral pneumonia
Hypersensitivity reaction to penicillin
Hot, dry weather
Which of the following is a prodrug activated by bronchial esterases with less candidiasis?
Beclomethasone
Fluticasone
Ciclesonide
Budesonide
Ciclesonide
Which of the following has high lipid solubility which permits them to dissolve in the smooth muscle cell membrane in high concentration.
I. Salmeterol
II. Albuterol
III. Metaproterenol
IV. Formoterol
I & II only
II & III only
I & IV only
III & IV only
I & IV only
Which of the following statement are true about LABA:
I. LABA interacts with inhaled corticosteroids to improve asthma.
II. LABA has no anti inflammatory action.
III. Bambuterol is an example.
IV. LABA can be used as a monotherapy for asthma.
I & ll only
ll & Ill only
l & lV only
III & IV only
I & ll only
Patient A has been experiencing daytime wheezing less than twice a week. which type of asthma patient A belong?
Mild intermittent
Mild persistent
Moderate persistent
Severe persistent
Mild intermittent
Which of the following statement is not true about corticosteroids?
For severe asthma exacerbation patients are treated with:
l. 30 to 60mg prednisone OD.
II. 0.5 to 1 mg Methylprednisolone IV q4h
III. The dose is decreased after airway obstruction has improved.
IV. Inhalational treatment is the most effective to avoid systemic adverse effect of corticosteroid therapy.
I & ll are correct
II only
III only
II & IV are correct
II & IV are correct
A selective PDE inhibitor that improves pulmonary function and reduces exacerbation frequency:
Montelukast
Roflumilast
Reslizumab
Mepolizumab
Roflumilast
The most widely used sympathomimetic for the treatment of acute bronchoconstriction:
Epinephrine
Isoproterenol
Salmeterol
Albuterol
Salmeterol
Which of the following statement is correct about beta agonist used in asthma?
l. Metered dose inhaler has a higher dose than nebulizing solution.
ll. Sympathomimetic agents can cause bronchodilation.
III. Albuterol has longer duration of action than epinephrine.
IV. Short-acting beta agonist are best used as a prophylaxis for exercise induced bronchoconstriction.
l & ll only
II & III only
I, II & III only
II, III & IV only
II, III & IV only
Which of the following drugs is used for inadequately controlled severe asthma:
Ipratropium
Prednisone
Omalizumab
Theophylline
Omalizumab
DRUGS ADMINISTERED BY INHALATION ARE ABSORBED IN THE:
STOMACH
NASAL MUCOSA
SMALL INTESTINE
LUNGS
LUNGS
The primary goal of asthma therapy in an adult patient includes the following except:
Maintain control of symptoms
Avoid adverse effects of asthma medications
Prevent acute exacerbations and chronic symptoms
Prevent destruction of lung tissue
Prevent destruction of lung tissue
Systemic corticosteroids are administered through:
Oral
Aerosol
Nebulization
MDI
Oral
A selective quaternary ammonium derivative of atropine which can be inhaled in high doses because of its poor absorption into circulation and poor entry into the CNS.
Ipratropium bromide
Theophylline
Terbutaling
Bambuterol
Ipratropium bromide
The symptoms of allergen mediated asthma results from which of the following?
Decreased prostaglandin production
Increased release of mediators from mast cells.
Increased vascular permeability
Increased adrenergic responsiveness of the airways.
Increased release of mediators from mast cells.
Classic allergic asthma is regarded as mediated by immune globulin (IgE) produced in response to exposure to foreign proteins.
Exercise
Cold air
Allergic stimuli
Cigarette smoke
Allergic stimuli