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Pharmacology > (23) Lungs SLO > Flashcards

(23) Lungs SLO Flashcards

1
Q

A 15 year old teen has asthma. A nebulizer treatment has been ordered. The type of medication most likely to be used in this treatment for asthma management is:
A. A corticosteroid
B. A beta (2) agonist
C. A leukotriene receptor blocker
D. A beta blocker
E. A LOX inhibitor or Leukotriene modifier

A

A beta (2) agonist

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2
Q 
A client with asthma asks which prescribed medication should be used to treat an acute episode of bronchospasm.  The nurse knows the client should use:
A. 	Albuterol, by inhalation.
B. 	Montelukast, by mouth
C. 	Theophylline, by mouth
D. 	Fluticasone, by mouth
E. 	Ipratropium, by inhalation
A

Albuterol, by inhalation.

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3
Q

Acetylcysteine is associated with __?__
A. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
B. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
C. Significant antimuscarinic effects.
D. Tachycardia, blood pressure changes, flushing, nausea, vomiting, bronchospasm, and anaphylaxis at any time during therapy
E. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.

A

Tachycardia, blood pressure changes, flushing, nausea, vomiting, bronchospasm, and anaphylaxis at any time during therapy

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4
Q

Albuterol (Proventil) is a(n):
A. Antimuscarinic bronchodilator for COPD
B. Mixed alpha and beta catecholamine used to treat anaphylaxis
C. LT receptor antagonist for asthma and allergies
D. Xanthine Bronchodilator for asthma or COPD
E. Beta-2 agonist bronchodilator

A

Beta-2 agonist bronchodilator

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5
Q

An asthma patient is prescribed a Flunisolide (AeroBid) inhaler. Which of the following is an education point covered by the astute nurse?
A. “Take as soon as you experience bronchoconstriction.”
B. “Flunisolide will reverse status asthmaticus, so make sure to always carry your inhaler.”
C. “You should feel tired after using this drug.”
D. “This drug will protect you from superinfections caused by antibiotics.”
E. “Rinse your mouth after each use.”

A

“Rinse your mouth after each use.”

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6
Q

Budesonide (Rhinocort Aqua) is a:
A. Beta 2 agonist for asthma
B. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray
C. Sympathomimetic (alpha agonist) oral nasal decongestant available OTC
D. Topical and orally inhaled steroid nasal decongestant and anti inflammatory also available PO for Crohn’s
E. Topical non-steroid nasal decongestant

A

Topical and orally inhaled steroid nasal decongestant and anti inflammatory also available PO for Crohn’s

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7
Q

Dextromethorphan (DXM, DM) is a:
A. Topical and orally inhaled steroid nasal decongestant and anti inflammatory
B. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray
C. C-III narcotic Opioid antitussive/analgesic with anti muscarinic agent to dry secretions
D. Non-narcotic Opioid NMDA antagonist Antitussive
E. Xanthine bronchodilator

A

Non-narcotic Opioid NMDA antagonist Antitussive

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8
Q

Dextromethorphan is associated with __?__
A. Significant antimuscarinic effects.
B. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
C. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.
D. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
E. Vomiting when taken in excess.

A

Vomiting when taken in excess.

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9
Q

Diphenhydramine (Benadryl) is a:
A. Mucolytic when inhaled, antidote to APAP OD when given PO or IV.
B. 2nd generation antihistamine indicated to treat cold and seasonal allergy symptoms
C. 1st generation antihistamine and anticholinergic used to treat cold and allergy symptoms, motion sickness, EPS and PD
D. Xanthine Bronchodilator for asthma & COPD
E. Corticosteroid anti-inflammatory.

A

1st generation antihistamine and anticholinergic used to treat cold and allergy symptoms, motion sickness, EPS and PD

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10
Q 
Drugs that convert a dry cough to a productive cough (to clear phlegm) are called:
A. 	Surfactant
B. 	Mucolytic
C. 	Decongestant
D. 	Expectorant
E. 	Antitussive
A

Expectorant

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11
Q 
Drugs that decrease the amount of mucous or edema produced due to colds or allergies are called:
A. 	Antitussive
B. 	Expectorant
C. 	Surfactant
D. 	Mucolytic
E. 	Decongestant
A

Decongestant

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12
Q 
Drugs that replace the natural lubricant in the lung are called:
A. 	Mucolytic
B. 	Surfactant
C. 	Expectorant
D. 	Antitussive
E. 	Decongestant
A

Surfactant

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13
Q 
Drugs that suppress coughing are called:
A. 	Decongestant
B. 	Expectorant
C. 	Surfactant
D. 	Antitussive
E. 	Mucolytic
A

Antitussive

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14
Q 
Drugs that thin mucous in the upper airwys by chemically removing sulphur cross-linkages in mucoproteins are called:
A. 	Expectorant
B. 	Antitussive
C. 	Surfactant
D. 	Decongestant
E. 	Mucolytic
A

Mucolytic

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15
Q

Epinephrine (EpiPen) is a(n):
A. Beta-2 agonist bronchodilator
B. Mixed alpha and beta catecholamine used to treat anaphylaxis
C. Xanthine Bronchodilator for asthma or COPD
D. Antimuscarinic bronchodilator for COPD
E. LT receptor antagonist for asthma and allergies

A

Mixed alpha and beta catecholamine used to treat anaphylaxis

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16
Q

Fexofenadine (Allegra) is a:
A. Mucolytic when inhaled, antidote to APAP OD when given PO or IV.
B. Xanthine Bronchodilator for asthma & COPD
C. 1st generation antihistamine and anticholinergic used to treat cold and allergy symptoms, motion sickness, EPS and PD
D. Corticosteroid anti-inflammatory.
E. 2nd generation antihistamine indicated to treat cold and seasonal allergy symptoms

A

2nd generation antihistamine indicated to treat cold and seasonal allergy symptoms

17
Q

Flunisolide (AeroBid) is a:
A. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray
B. Topical and orally inhaled steroid anti inflammatory and nasal decongestant
C. Injectable steroid nasal decongestant
D. Xanthine bronchodilator
E. Beta 2 agonist bronchodilator

A

Topical and orally inhaled steroid anti inflammatory and nasal decongestant

18
Q

Fluticasone (Flonase) is a:
A. Topical and orally inhaled steroid anti inflammatory and nasal decongestant
B. Orally inhaled Beta 2 agonist bronchodilator
C. Xanthine bronchodilator
D. Topical non-steroidal nasal decongestant
E. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray

A

Topical and orally inhaled steroid anti inflammatory and nasal decongestant

19
Q

Hydrocodone with homatropine (Hycodan) is a:
A. Topical and orally inhaled steroid nasal decongestant and anti inflammatory
B. C-III narcotic Opioid antitussive/analgesic with anti muscarinic agent to dry secretions
C. Sympathomimetic (alpha agonist) oral nasal decongestant available OTC
D. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray
E. Non-narcotic Opioid NMDA antagonist Antitussive

A

C-III narcotic Opioid antitussive/analgesic with anti muscarinic agent to dry secretions

20
Q

Hydrocodone with homatropine is associated with __?__
A. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
B. Significant sympathetic effects.
C. Vomiting when taken in excess.
D. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
E. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.

A

Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.

21
Q

Ipratropium (Atrovent) is a(n):
A. LT receptor antagonist for asthma and allergies
B. Beta-2 agonist bronchodilator
C. Mixed alpha and beta (mostly beta) synthetic catecholamine used to prevent bronchospasm during surgery
D. Antimuscarinic bronchodilator for COPD
E. Xanthine Bronchodilator for asthma or COPD

A

Antimuscarinic bronchodilator for COPD

22
Q

Isoproterenol (Isuprel) is a(n):
A. Antimuscarinic bronchodilator for COPD
B. Xanthine Bronchodilator for asthma or COPD
C. Beta-2 agonist bronchodilator
D. LT receptor antagonist for asthma and allergies
E. Mixed alpha and beta (mostly beta) synthetic catecholamine used to prevent bronchospasm during surgery

A

Mixed alpha and beta (mostly beta) synthetic catecholamine used to prevent bronchospasm during surgery

23
Q

Mometasone (Nasonex) is a:
A. Sympathomimetic (alpha agonist) oral nasal decongestant available OTC
B. Topical non-steroidal nasal decongestant
C. Sympathomimetic (alpha agonist) topical nasal decongestant available OTC as a spray
D. Beta 2 agonist bronchodilator
E. Topical and orally inhaled steroid anti inflammatory and nasal decongestant

A

Topical and orally inhaled steroid anti inflammatory and nasal decongestant

24
Q

Montelukast (Singulair) is a(n):
A. Beta-2 agonist bronchodilator
B. LT receptor antagonist for asthma and allergies
C. Xanthine Bronchodilator for asthma or COPD
D. Antimuscarinic bronchodilator for COPD
E. Mixed alpha and beta (mostly beta) synthetic catecholamine used to prevent bronchospasm during surgery

A

LT receptor antagonist for asthma and allergies

25
Q

Oxymetazoline (Afrin) is a:
A. Sympathomimetic (alpha agonist) topical spray nasal decongestant available OTC
B. Sympathomimetic (alpha agonist) topical or oral nasal decongestant available OTC
C. Topical and orally inhaled steroid nasal decongestant and anti inflammatory
D. C-III narcotic Opioid antitussive/analgesic with anti muscarinic agent to dry secretions
E. Non-narcotic Opioid NMDA antagonist Antitussive

A

Sympathomimetic (alpha agonist) topical spray nasal decongestant available OTC

26
Q

Pseudoephedrine (Sudafed) is a:
A. C-III narcotic Opioid antitussive/analgesic with anti muscarinic agent to dry secretions
B. Sympathomimetic (alpha agonist) oral nasal decongestant available OTC
C. Topical and orally inhaled steroid nasal decongestant and anti inflammatory
D. Beta 2 agonist for asthma
E. Xanthine Bronchodilator for asthma or COPD

A

Sympathomimetic (alpha agonist) oral nasal decongestant available OTC

27
Q

The First Generation Antihistamines are associated with __?__
A. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
B. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
C. Vomiting when taken in excess.
D. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.
E. Significant antimuscarinic effects.

A

Significant antimuscarinic effects.

28
Q

The sympathomimetic bronchodilators are associated with __?__
A. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
B. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.
C. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
D. Significant antimuscarinic effects.
E. Tachycardia, anxiety and sweating

A

Tachycardia, anxiety and sweating

29
Q

The sympathomimetic decongestants are associated with __?__
A. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.
B. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
C. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
D. Significant antimuscarinic effects.
E. Vomiting when taken in excess.

A

Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.

30
Q

The topically applied corticosteroids are associated with __?__
A. Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.
B. Sedation, psychic and physical dependence, respiratory depression, nausea, vomiting, constipation, and urinary retention.
C. Vomiting when taken in excess.
D. Tachycardia and increased blood pressure, headache, insomnia, sweating, anxiety, tremor, rebound congestion, nausea, vomiting, dry mouth, and urinary retention.
E. Significant antimuscarinic effects.

A

Nasal burning, epistaxis, nasal dryness, pharyngitis, nausea, aftertaste, hoarseness, altered ability to smell, and infections.

31
Q

Theophylline (Theo-24) is a:
A. Oral expectorant to move phlegm out of airways
B. Mucolytic when inhaled, antidote to APAP OD when given PO or IV.
C. 1st generation antihistamine and anticholinergic used to treat cold and allergy symptoms, motion sickness, EPS and PD
D. Xanthine Bronchodilator for asthma & COPD
E. 2nd generation antihistamine indicated to treat cold and seasonal allergy symptoms

A

Xanthine Bronchodilator for asthma & COPD

32
Q 
Which of the following OTC cold products will NOT help alleviate cough associated with colds or allergies?
A. 	Phenylephrine
B. 	Dextromethorphan
C. 	Guaifenesin
D. 	Diphenhydramine
E. 	All of the above
A

Phenylephrine

33
Q

Zafirlukast (Accolate) is a(n):
A. Antimuscarinic bronchodilator for COPD
B. LT receptor antagonist for asthma and allergies
C. Xanthine Bronchodilator for asthma or COPD
D. Beta-2 agonist bronchodilator
E. Mixed alpha and beta (mostly beta) synthetic catecholamine used to prevent bronchospasm during surgery

A

LT receptor antagonist for asthma and allergies

34
Q

Amantadine is a(n):
A. Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)
B. Neuraminidase inhibitor against Influenza A
C. Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS
D. Lung surfactant replacement (natural bovine lung extract)
E. Topical steroid nasal decongestant

A

Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS

35
Q

Beractant (Survanta) is a(n):
A. Lung surfactant replacement (natural bovine lung extract)
B. Neuraminidase inhibitor against Influenza A
C. Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)
D. Topical steroid nasal decongestant
E. Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS

A

Lung surfactant replacement (natural bovine lung extract)

36
Q

Cromolyn is a(n):
A. Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS
B. Topical steroid nasal decongestant
C. Lung surfactant replacement (natural bovine lung extract)
D. Neuraminidase inhibitor against Influenza A
E. Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)

A

Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)

37
Q

Oseltamivir is a(n):
A. Neuraminidase inhibitor against Influenza A
B. Lung surfactant replacement (natural bovine lung extract)
C. Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS
D. Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)
E. Topical steroid nasal decongestant

A

Neuraminidase inhibitor against Influenza A

38
Q

Zanamivir is a(n):
A. Lung surfactant replacement (natural bovine lung extract)
B. Mast cell stabilizer (inhibits the release of histamine and LTs from sensitized mast cells)
C. Ion channel M2 protein inhibitor on Influenza A virus also an NMDA antagonist and anticholinergic for PD & EPS
D. Neuraminidase inhibitor against Influenza A

E. 	Topical steroid nasal decongestant
A

Neuraminidase inhibitor against Influenza A

Pharmacology (30 decks)

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