Asthma Quiz Flashcards

1
Q

Xanthine derivatives may produce the following except:

A.Bronchodilation
B.Diuresis
C.Stimulation of the heart rate
D.Depression of the respiratory center

A

D

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2
Q

A patient was suffering an acute asthma attack, which of the following medication will relieve patient asthma immediately?

Montelukast
Cromolyn
Formoterol
Albuterol

A

Albuterol

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3
Q

A potential problem of inhaled corticosteroid:

staining of teeth
Candidiasis
Excessive salivation
Oropharyngeal candidiasis

A

Oropharyngeal candidiasis

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4
Q

Cromolyn sodium acts by:

Destroying histamine
Biotransforming histamine
Releasing histamine
Preventing the release of histamine

A

Preventing the release of histamine

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5
Q

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.

A

It has a greater diuretic effect

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6
Q

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

A

Rinse your mouth with water or mouthwash after administration

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7
Q

Which of the following drugs would most likely be used in the treatment of bronchospasm that is associated with COPD.

Montelukast
Cromolyn
Epinephrine
Ipratropium

A

Ipratropium

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8
Q

Potential side effect of inhaled corticosteroids:

Canker sore
Excessive salivation
Staining of teeth
Throat irritation

A

Staining of teeth

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9
Q

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

A

Hot, dry weather

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10
Q

Which of the following is a prodrug activated by bronchial esterases with less candidiasis?

Beclomethasone
Fluticasone
Ciclesonide
Budesonide

A

Ciclesonide

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11
Q

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

A

I & IV only

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12
Q

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

A

I & ll only

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13
Q

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

A

Mild intermittent

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14
Q

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

A

II & IV are correct

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15
Q

A selective PDE inhibitor that improves pulmonary function and reduces exacerbation frequency:

Montelukast
Roflumilast
Reslizumab
Mepolizumab

A

Roflumilast

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16
Q

The most widely used sympathomimetic for the treatment of acute bronchoconstriction:

Epinephrine
Isoproterenol
Salmeterol
Albuterol

A

Salmeterol

17
Q

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

A

II, III & IV only

18
Q

Which of the following drugs is used for inadequately controlled severe asthma:

Ipratropium
Prednisone
Omalizumab
Theophylline

A

Omalizumab

19
Q

DRUGS ADMINISTERED BY INHALATION ARE ABSORBED IN THE:

STOMACH
NASAL MUCOSA
SMALL INTESTINE
LUNGS

A

LUNGS

20
Q

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

A

Prevent destruction of lung tissue

21
Q

Systemic corticosteroids are administered through:

Oral
Aerosol
Nebulization
MDI

A

Oral

22
Q

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

A

Ipratropium bromide

23
Q

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.

A

Increased release of mediators from mast cells.

24
Q

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

A

Allergic stimuli

25
Q

Symptoms of toxicity of theophylline use, except:
I. Nausea
Il. Vomiting
III. Tremolousness
IV. Worsened hypoxemia

I & II only
III only
II & III only
IV only

A

IV only

26
Q

Why should aspirin not be given to asthmatic patients?

A

Aspirin-induced asthma (AIA) refers to the development of bronchoconstriction in asthmatic individuals following the ingestion of aspirin. This syndrome encompasses classic symptoms of chronic rhinoconjunctivitis, nasal polyps, and asthma akin to a protracted viral respiratory infection.