Asthma and PNS - Kahoot Quiz Flashcards

1
Q

From which type of neuron is acetylcholine released to activate its muscarinic receptor?

  • Somatic Nerve
  • Preganglionic parasympathetic neuron
  • Postganglionic parasympathetic nueron
  • Preganglionic sympathetic nueron
A
  • Postganglionic parasympathetic neuron
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2
Q

Which of the following drugs is a muscarinic cholinoceptor agonist used to treat glaucoma ?

A

Pilocarpine

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3
Q

Which of the following cardiac conditions can the muscarinic cholinoceptor antagonist atropine treat?

  • Tachycardia
  • Bradycardia
A

Bradycardia

ITS REMOVING THE EFFECTS OF THE PARASYMPATHETIC NERVOUS SYSTEM.

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4
Q

Which of the following drugs is a bronchodilator used in the acute relief of an asthma attack?

  • Salmeterol
  • Salbutamol
  • Montelukast
  • Beclometasone
A
  • Salbutamol
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5
Q

Which drug is a B2- -adrenoceptor agonist delivered by inhalation in maintenance asthma therapy?

  • Terbutaline
  • Salmeterol
  • Bambuterol
  • Fluticasone
A

Salmeterol

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6
Q

Which adverse effect is associated with Chronic B2-adrenoceptor agonist use in asthma therapy?

  • Hypokalemia
  • Dry mouth
  • Cardiac arrhthmias
  • Oral candididasis
A

Hypokalemia

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7
Q

Which would be the first drug regime to be prescribed to improve dyspnea?

A 21-year-old male patient is admitted with 8 hours of severe breathlessness. He has just started smoking and has a previous history of asthma. His only medication is a salbutamol inhaler, which is providing little benefit. His expiratory peak flow is 280L/min (Best 620L/min). On examination, a widespread, polyphonic expiratory wheeze is detected throughout the chest. His respiratory rate is 32/min; SaO2 is 80% on air, and he has just begun to receive oxygen.

  • Nebulised salbutamol
  • Corticosteroid inhaler
  • Oral prednisolone
  • Salmeterol inhaler
A
  • Nebulised salbutamol
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8
Q

Which steroid is administered in more severe forms of asthma and exacerbations of COPD?

  • Beclometasone
  • Fluticasone
  • Hydrocortisone
  • Prednisolone
A

Prednisolone

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9
Q

Which is most appropriate when using fluticasone via a metered dose inhaler?

  • More of the dose enters the lung than is swallowed
  • A maximum dose of 2mg/day does not suppress the hypothalamic-pituitary axis.
  • Reduces maintenance of oral prednisolone in chronic asthma.
  • Has a higher systemic bioavailability than prednisolone.
A
  • Reduces maintenance oral prednisolone dose in chronic asthma.
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10
Q

Please select the most appropriate treatment option to manage her asthma.

A 20-year-old woman, diagnosed with asthma six months ago, has been using a salbutamol inhaler 0.1mg 2 puffs every 12 hours. She has allergic rhinitis and eczema managed with oral cetirizine 10mg oral and various topical agents. She reports a worsening of her nocturnal cough and tremor, which has developed over the last months, together with a 25% drop in peak expiratory flow. The cough has responded to an increase in the use of the inhaler.

  • Stop salbutamol Inhaler
  • Increase salbutamol inhaler to 2 puffs, six hourly.
  • Add steroid inhaler
  • Add steroid inhaler and counsel about salbutamol overuse.
A
  • Add steroid inhaler and counsel about salbutamol overuse.
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11
Q

Which of the following inhaled steroids can increase the risk of pnuemonia in patients with COPD ?

  • Fluticasone
  • Beclometasone
  • Prednisolone
  • Budesonide
A
  • Fluticasone
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12
Q

Which drug is a long-acting muscarinic antagonist (LAMA) given by metered-dose aerosol?

  • Atropine
  • Hyosine
  • Montelukast
  • Tiotropium
A

Triotropium

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13
Q

Adverse effects of theophylline include which of the following ?

  • Dry mouth
  • Muscle tremors
  • Cardiac dysfunctions and convulsions
  • Oral canidasis
A

Cardiac dysfunctions and convulsions

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14
Q

Which test would best check for signs of aminophylline toxicity ?

A 47-year-old man has been admitted to the respiratory ward with acute exacerbation of asthma. Despite treatment with nebulised salbutamol and ipratropium, he remains symptomatic and is started on an infusion of aminophylline.

  • Blood pressure
  • Oxygen saturation
  • Respiratory rate
  • Serum theophylline
A
  • Serum theophylline
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15
Q

Which type of white cell is involved in the aetiology of severe forms of asthma ?

  • Eosinophil
  • Macrophage
    -Lymphocyte
  • Neutrophil
A

eosinophil

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16
Q
A