Exam 1 Practice Questions

Question 1

Most comm bacterial pathogen for community acquired pneumonia?

Answer 1

S. Pneumoniae

Question 2

What do you not use to treat bronchitis?

Answer 2

ABX

Question 3

What criteria is needed for a CXR?

Answer 3

RR > 20

Question 4

What infection requires ABX?

Answer 4

Sinusitis

Question 5

What do you use for COPD exacerbation?

Answer 5

Systemic corticoid burst

Question 6

ICS education

Answer 6

Rinse mouth after use

Question 7

How do you use a SABA for asthma exacerbation?

Answer 7

x2 q20 min, q3-4 hrs PRN

Question 8

What do ALL pts with any level severity of COPD use?

Answer 8

Bronchodilators

Question 9

Criteria for prescribing antibiotics for exacerbation?

Answer 9

Increased purulent sputum

Question 10

When do you use LABA?

Answer 10

LABA + ICS is Step 4 or >

Question 11

Found in both supply & demand

Answer 11

HR & BP

Question 12

ACE role in angina

Answer 12

Increase blood supply

Question 13

MOA Aspirin

Answer 13

Block prostaglandin synthesis

Question 14

Who does not take aspirin?

Answer 14

Hepatic dysfunction

Question 15

How many days will it take to see improvement in PNA on ABX?

Answer 15

48-72 hours

Question 16

What is a side effect of benadryl?

Answer 16

Drowsiness which can cause falls

Question 17

What does atrovent do?

Answer 17

Inhibits nasal secretions

Question 18

What is mechanism of cough?

Answer 18

Bradykinins

Question 19

What are the side effects of psuedoephedrine and oxymetazoline hydrochloride?

Answer 19

Increased HR & BP, dizziness, palpitations, headache, GI, insomnia, tremor

Question 20

Contraindications of pseudoephedrine and oxymetazoline hydrochloride

Answer 20

Hypersensitivity
Narrow angle glaucoma)
Sev. uncontrolled HTN
CAD
MAO inhibitor within 14days
<4yrs

Question 21

When do you treat sinusitis?

Answer 21

> 10 days

3 or more of the following:

• Nasal Congestion
• Nasal Discharge
• Facial pain or HA
• Anosmia (loss of smell)- Adults
• Cough - peds

Question 22

What is the goal of tx for sinusitis

Answer 22

Drain sinuses

Question 23

Pedatric dose of intranasal cromolyn

Answer 23

2+ years, 1 spray in each nostril, 3-6x/day, then q8-12hr

Question 24

Goals of asthma tx

Answer 24

reduce impairment and reduce risk, pt/family should be satisfied w/tx

Question 25

Steroid contraindications

Answer 25

Bone density issues

Question 26

COPD Cardinal Signs

Answer 26

Increased dyspnea, increased sputum volume, increased sputum purulence

Question 27

Side effects of oral steroids

Answer 27

Edema, increased bp, exacerbation of chf, hyperglycemia, incresed appetite and weigth gain, CNS stimulation, peptic ulcer, leukocytosis

Question 28

bronchitis organism

Answer 28

h flu

Question 29

Tx of bronchitis

Answer 29

Amoxil, augmentin, macrolide for myco

Question 30

When do you use quinolones?

Answer 30

Last resort

Question 31

Why use nasal antihistamines at night?

Answer 31

Reduce side effects

Question 32

What is ICS first line for?

Answer 32

COPD, asthma, allergic rhinitis

Question 33

What med is on beers list?

Answer 33

1st gen antihistamine

Question 34

What is the MOA of delsym (dextromorphan)

Answer 34

diminish cough reflex by direct inhibition of of cough center in medula

Question 35

When can singulair be used in peds?

Answer 35

1+ year

Question 36

Tx for moderate persistent asthma in adults?

Answer 36

Low-dose ICS + laba | Med-dose ICS + laba

Question 37

LABA + ICS

Answer 37

Synergistic effects

Question 38

Xolair MOA

Answer 38

binding to IgM

Question 39

Signs of theophylline toxicity

Answer 39

seizures, arythmias, tachy

Question 40

Duration of nasal decongestant

Answer 40

3 days

Question 41

Afib + hf

Answer 41

digitalis level

Question 42

Nondihydropyridines SE

Answer 42

Constipation, fatigue, dizziness, headache, flushing, gingival hyperplasia

Question 43

Writing Rx

Answer 43

Medication, dose, frequency, dispense number, refill, directions

Question 44

CURB-65

Answer 44

``` Confusion Uremia Respiratory Rate Low BP Over 65 years ```