DRUG TREATMENT: RESPIRATORY & DIABETES Flashcards

1
Q

Name the 5 classifications of drugs used to treat Asthma and COPD.

A
Beta Agonists
Anticholinergics
Corticosteroids
Xanthine Derivatives
Leukotriene Modifiers
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2
Q

Stimulating the sympathetic nervous system to open the lung passages is how a (beta/alpha)___ agonist works.

A

beta

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3
Q

Drugs that work by blocking parasympathetic nerve transmission that causes bronchoconstriction are in which class?

A

Anticholinergics

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4
Q

Drugs that reduce inflammation and decrease mucous production are in which class?

A

Corticosteroids

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5
Q

Which of the following antihistamines should cause the least amount drowsiness?

a) diphenhydramine
b) loratadine
c) chlorpheniramine
d) carbinoxamine

A

b) loratadine

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6
Q

Which of the following drugs work by stabilizing mast cells and reducing histamine release?

a) albuterol
b) cromolyn
c) mometasone
d) psuedoephedrine

A

b) cromolyn

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7
Q

Which of the following inhalers would be appropriate for an acute asthma attack?

a) albuterol
b) tiotropium
c) beclomethasone
d) salmeterol

A

a) albuterol

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8
Q

An important warning that should be provided to patients who will be using an oral corticosteroid inhaler is they should:

a) rinse their mouth with water after each use
b) stay out of the sun
c) eat plenty of bananas
d) use caution when operating machinery

A

a) rinse their mouth with water after each use

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9
Q

Where must pseudoephedrine containing cough and cold preparations be kept?

a) on the sales floor
b) behind the pharmacy counter
c) in the refrigerator
d) in the pharmacy safe

A

b) behind the pharmacy counter

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10
Q

Most commonly used oral decongestant that is now a Schedule Listed Chemical Product must be kept behind the pharmacy counter.

A

Psuedoephedrine

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11
Q

What class of drugs works by stimulating receptors that produce vasoconstriction and reduce nasal congestion?

A

Decongestants

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12
Q

What class of drugs works by reducing inflammations and tissue secretions for Asthma and COPD?

A

Corticosteroids

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13
Q

What class of drugs will stabilize the cells containing histamine to hinder their release?

A

Mast Cell Stabilizers

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14
Q

Which generation of antihistamines has drowsiness as a side effect?

A

First generation

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15
Q

__________ work by blocking the cause of redness, swelling, itching, and increased secretions in the body tissues.

A

Antihistamines

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16
Q

This drug class works by blocking a chemical transmitter in the body that triggers asthma symptoms.

A

Leukotriene Modifiers

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17
Q

Name one of the more common side effects of inhaled corticosteroids.

A

Fungus infection

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18
Q

Which of the following would be inappropriate for an acute asthma attack?

a) levalbuterol
b) albuterol
c) metaproterenol
d) serevent

A

d) serevent

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19
Q

Name the 4 acting types of Insulin product types.

A

Rapid, short, intermediate, long.

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20
Q

What is the onset of insulin aspart and insulin lispro?

A

15 min

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21
Q

What is the onset of NPH insulin?

A

1-3 hr

22
Q

What is the onset of regular insulin?

A

30-60 min

23
Q

What is the onset of insulin detemir and insulin glargine?

A

1 hr

24
Q

Which insulin is taken about 30 minutes before a meal?

a) Novolog
b) Novolin R
c) Novolin N

A

b) Novolin R

25
Q

Which insulin is usually taken twice daily when short acting insulin can’t handle the load?

a) Humulog
b) Humulin R
c) Humulin N

A

c) Humulin N

26
Q

Which insulin is usually taken once or twice daily?

a) Insulin Glargine
b) Insulin Aspart
c) Insulin Lispro

A

a) Insulin Glargine

27
Q

Which insulin is usually taken before a meal to cover glucose elevation?

a) Insulin Detemir
b) Insuln Lispro
c) Insulin Glargine

A

b) Insuln Lispro

28
Q

How should an insulin be mixed?

a) Swirled vigorously
b) Briskly shaken up and down
c) Shaken between the palms of the hands
d) Gently rolled between the palms of the hands

A

d) Gently rolled between the palms of the hands

29
Q

U-500 strength insulin is 500 units of activity in every:

a) 1 ml
b) 0.5 ml

A

a) 1 ml

30
Q

U-100 strength insulin is 100 units of activity in every:

a) 1 ml
b) 0.5 ml

A

a) 1 ml

31
Q

What is the onset of Humulin 70/30 and Novolin 70/30?

a) 0-30 min
b) 30-60 min
c) 60 min

A

b) 30-60 min

32
Q

What is the onset of Novolog 70/30?

a) 0-5 min
b) 5-10 min
c) 5-15 min

A

c) 5-15 min

33
Q

What is the onset of Humalog 50/50 and Humalog mix 75/25?

a) 10-15 min
b) 5-15 min
c) 15-20 min

A

a) 10-15 min

34
Q

Usually, premixed insulin products are taken _____ a meal.

A

before

35
Q

Rate of insulin absorption depends on the _____ of the injection.

A

site

36
Q

Once a bottle of insulin is punctured, it is usually safe to use for __ day(s) at room temperature.

A

30

37
Q

Type I Diabetes means a person is:

a) Non-insulin dependent
b) Insulin dependent
c) Insulin resistant

A

b) Insulin dependent

38
Q

Type II Diabetes means a person is:

a) Insulin depleted
b) Insulin dependent
c) Non-insulin dependent

A

c) Non-insulin dependent

39
Q

Which of the following oral diabetes class inhibits the release of glucose from the liver + improve sensitivity to insulin?

a) Meglitinides
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors

A

b) DPP-4 Inhibitors

40
Q

Which of the following oral diabetes class slows the breakdown of starches and some sugars?

a) Meglitinides
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors

A

d) Alpha-Glucosidase Inhibitors

41
Q

Which of the following oral diabetes class stimulates insulin release only?

a) Sulfonylureas
b) DPP-4 Inhibitors
c) Thiazolidinediones
d) Alpha-Glucosidase Inhibitors

A

a) Sulfonylureas

42
Q

Which of the following oral diabetes class inhibits the release of glucose + improve sensitivity to insulin?

a) Sulfonylureas
b) DPP-4 Inhibitors
c) Biguanides
d) Alpha-Glucosidase Inhibitors

A

c) Biguanides

43
Q

Which of the following drugs stimulates the release of insulin and is used with metformin and sulfonylurea?

a) Symlin
b) Victoza

A

b) Victoza

44
Q

Which of the following drugs is in the Biguanides class of diabetes?

a) Metformin
b) Acarbose
c) Glipizide

A

a) Metformin

45
Q

Which of the following drugs is in the DPP-4 class of diabetes?

a) Saxagliptin
b) Rosiglitazone
c) Nateglinide

A

a) Saxagliptin

46
Q

Which of the following drugs is in the Meglitinides class of diabetes?

a) Precose
b) Actos
c) Starlix

A

c) Starlix

47
Q

Which of the following drugs is in the Alpha-Glucosidase Inhibitors class of diabetes?

a) Precose
b) Amaryl
c) Januvia

A

a) Precose

48
Q

Which of the following drugs is in the Sulfonylureas class of diabetes?

a) Prandin
b) Glucophage
c) Diabeta

A

c) Diabeta

49
Q

Which of the following drugs is in the Thiazolidinediones class of diabetes?

a) Pioglitazone
b) Glyburide
c) Glimepiride

A

a) Pioglitazone

50
Q

Rank the following insulins in regard to their onset of action (quickest to slowest).
NPH insulin, insulin glargine, regular insulin, insulin aspart

A

insulin aspart > regular insulin > insulin glargine > NPH insulin

51
Q

Which of the following is an injectable drug used in Type II diabetes?

a) exenatide
b) glyburide
c) metformin
d) pioglitazone

A

a) exenatide

52
Q

Which of the following drugs work by increasing the body’s release of insulin?

a) glimepiride
b) metformin
c) rosiglitazone
d) acarbose

A

a) glimepiride