Resp Practice Questions

Question 1

What are the three classes of quick acting respiratory agents?

Answer 1

Anticholinergics, beta, two agonist, oral corticosteroids

Question 2

Which quick acting drug class is used to be taken prior to known trigger onsets

Answer 2

The beta two agonist like albuterol and levalbuterol

Question 3

Which beta two agonist works quicker

Answer 3

Albuterol

Question 4

How soon before exercise triggers should you take a short acting beta to agonist

Answer 4

10 to 20 minutes before

Question 5

Which beta two agonist has less effect on a heart rate

Answer 5

Levalbuterol

Question 6

How do the short acting beta to Agnes cause relaxation of the bronchial smooth muscles?

Answer 6

They stimulate the release of intracellular adenocyclase

Question 7

Why do short acting beta, receptors commonly cause significant cardiovascular effects?

Answer 7

About 50% of beta receptors are located in the heart. Treatment with albuterol and levalbuterol, can lead to tachycardia and angina.

Question 8

Which class of quick acting respiratory medication’s is commonly used in patients with poorly controlled Asthma for a short term courses.

Answer 8

Oral systemic corticosteroids

Question 9

When should you reevaluate patients taking oral systemic corticosteroids?

Answer 9

In 2 to 6 weeks after prescribing

Question 10

Which class of quick acting respiratory meds is more commonly used in COPD

Answer 10

The anticholinergic ipratropium

Question 11

Does ipratropium have a systemic or local effect?

Answer 11

It has a local effect and therefore causes less adverse effects on the body

Question 12

What did the adverse effects of the anticholinergic ipratropium

Answer 12

Dry mouth, irritation of the pharynx, headache

Question 13

What are the leukotriene agonist used for?

Answer 13

Mild to persistent, asthma, and allergic rhinitis

Question 14

Which leukotriene agonist has the least drug interactions

Answer 14

Montelukast

Question 15

How did the leukotriene agonist class work?

Answer 15

They decrease, inflammation, bronco construction, edema, mucus, secretion, and recruitment of eosinophils

Question 16

Which drugs do the leukotriene agonist zileuton and zofirlukast interact with

Answer 16

Warfarin and theophylline

Question 17

What increases the bio availability of leukotriene agonist?

Answer 17

Taking in a fasting state

Question 18

What are the adverse effects of leukotriene agonist?

Answer 18

Headache and GI effects

Question 19

Which leukotriene agonist does not cause liver injury

Answer 19

Montelukast

Question 20

What are the three leukotriene agonist drug names?

Answer 20

Zileuton, zofirlukast, montelkast

Question 21

What is the most commonly used long acting beta agonist

Answer 21

Salmetrol

Question 22

How long do LABAS work?

Answer 22

12 to 24 hours

Question 23

When are long acting beta agonists indicated

Answer 23

Only in use with an anti-inflammatory agent when using for asthma like inhaled corticosteroids
It can be used as maintenance therapy alone for COPD patients

Question 24

How is the mast cell stabilizer, chromeylin sodium administered

Answer 24

Only by nebulizer four times a day until your stabilized, then you can possibly go down to three times a day

Question 25

How do the mast cell stabilizer, chromeylin sodium work for asthma?

Answer 25

It inhibits degranulation of mast cells and suppresses inflammation. It is the least effective for asthma treatment.

Question 26

What are the side effects of cromolyn sodium

Answer 26

Congestion, cough, sneezing, nausea

Question 27

What is the most effective and preferred treatment for asthma?

Answer 27

The inhaled corticosteroid class like budesonide and fluticasone

Question 28

Which inhaled corticosteroid can be taken only once daily instead of twice daily

Answer 28

Fluticasone

Question 29

Which inhaled corticosteroid is safe to use in pregnancy

Answer 29

Budesonide

Question 30

How does the inhaled corticosteroid class work for asthma?

Answer 30

They inhibit production of inflammatory agents like cytokines, macrophages, and leukotriene’s and acts locally on the lungs

Question 31

When are inhaled corticosteroids considered for COPD?

Answer 31

Only when patients fall into group, E

Question 32

What are the local adverse effects of inhaled corticosteroids?

Answer 32

Dysphonia, topical candidia, contact, hypersensitivity, cough

Question 33

What are the systemic adverse effects of inhaled corticosteroids?

Answer 33

Adrenal suppression like HPA down regulation, lung infection, ocular effects, like cataracts, skeletal affects, like osteoporosis, and growth inhibition in children

Question 34

What are the immunomodulators?

Answer 34

Omalizumab, mepolizumab, reslizumab, benralizumab, dipliumab

Question 35

What are immunomodulators indicated?

Answer 35

Only impatience that are older than the age of 12 with moderate to severe asthma and has failed prior inhaled corticosteroids and has a positive allergy skin test to perennial areo allergen

Question 36

What two task can be done for patients prior to starting immunomodulators

Answer 36

An allergy skin test or an IGE blood test

Question 37

What is the biggest barrier to immunomodulators?

Answer 37

Costs up to 30000 a year

Question 38

What are the risks of taking immunomodulators

Answer 38

Increased risk for cancer, cardiovascular, and cerebral vascular events

Question 39

What drug is in the methylzanthine class?

Answer 39

Theophylline

Question 40

When is theophylline used the most?

Answer 40

When patients cannot afford other classes of medication’s

Question 41

How does theophylline work?

Answer 41

Bronchodilation, anti-inflammatory and bronco protective effects

Question 42

Which class of anti-asthma medication’s has the most unpredictable pharmacokinetics

Answer 42

Methylzanthine class theophylline

Question 43

True or false Theophylline can be given in pregnancy

Answer 43

F it is category C

Question 44

What three classes can be given in COPT as a triple therapy

Answer 44

Inhaled corticosteroids, long-acting, miscarriage agents, long acting, beta agonist

Question 45

When are the methylxanthine’s used IV and COPD?

Answer 45

When there is an insufficient response to short acting bronchodilators

Question 46

What PPD for inhibitor is used in COPD to reduce exacerbation and chronic bronchitis

Answer 46

Roflumilast

Question 47

If eosinophils are less than 100 cells rather than starting the triple therapy what other medication regimen could you try?

Answer 47

Roflumilast or azithromycin

Question 48

What medication regimen do you start when eosinophils are greater than 300?

Answer 48

Triple therapy

Question 49

What level of O2 would you want to keep saturation at in hypoxic COPD patients?

Answer 49

Greater than 90%

Question 50

How often would you recheck to excessive oxygen therapy is still needed after initiating

Answer 50

In 60 to 90 days

Question 51

What are the symptoms of all allergic rhinitis?

Answer 51

Sneezing, pruritis, nasal congestion eye watering

Question 52

Which class of medications are preferred for the first line use of allergic rhinitis

Answer 52

Non-sedating second generation antihistamines

Question 53

What are the oral decongestant or sympathomimetics used for allergic rhinitis?

Answer 53

Sudafed and the phenylphrine

Question 54

What class of medications is used for persistent or perennial allergic rhinitis symptoms?

Answer 54

Internasal corticosteroid spray

Question 55

What do you start if internasal share spray does not control allergic rhinitis symptoms

Answer 55

An oral or intraocular antihistamine

Question 56

What are the two opioid antitussives suppress cough?

Answer 56

Codeine and hydrocodone

Question 57

What is the non-opioid antitussive

Answer 57

Dextromethorphan

Question 58

What is the commonly used exectorant

Answer 58

Guaifenesin

Question 59

At what age are Antitussives not recommended in children?

Answer 59

Five years old and younger