Final

Question 1

Between asthma and COPD, which causes irreversible airflow limitation?

Answer 1

COPD

Question 2

Which is more responsive to steroids, COPD or asthma?

Answer 2

Asthma

Question 3

What spirometry is required for the diagnosis of COPD?

Answer 3

FEV1/FVC ratio of < 0.70

Question 4

What is FEV1?

Answer 4

Forced expiratory volume in 1 second

Question 5

What is FVC?

Answer 5

Forced vital capacity

Question 6

What is LAMA?

Answer 6

Long acting muscarinic agonist

Question 7

Which SABA theoretically causes less tachycardia?

Answer 7

Levalbuterol

Question 8

LABA monotherapy does not increase risk of death in COPD or asthma?

Answer 8

COPD

Question 9

Can LABA be used as monotherapy in asthma?

Answer 9

No

Question 10

Which has fewer side effects, LABA or LAMA?

Answer 10

LAMA

Question 11

Is monotherapy with inhaled steroids approved for use in asthma or COPD?

Answer 11

Asthma

Question 12

When should ICS be added for COPD?

Answer 12

When the pt has exacerbations despite being on LABA/LAMA

Question 13

When to add a PDE-4 inhibitor to COPD therapy?

Answer 13

In severe COPD

Question 14

Should SABA ever be used alone in asthma?

Answer 14

No, should be used with ICS

Question 15

Does all opioid physical dependence lead to addiction?

Answer 15

No

Question 16

Can schedule II medications be refilled?

Answer 16

No

Question 17

Is informed consent required for pain management?

Answer 17

Yes

Question 18

What percent of caucasians are poor metabolizers of codeine?

Answer 18

About 10%

Question 19

Can an opioid naive pt tolerate Fentanyl?

Answer 19

Usually not

Question 20

Which opioid prolongs QT?

Answer 20

Methadone

Question 21

What is affinity?

Answer 21

The strength with which a drug binds to a receptor

Question 22

What is receptor dissociation?

Answer 22

The speed with which a drug disengages from a receptor

Question 23

Why is naloxone added to buprenorphine?

Answer 23

To decrease abuse potential

Question 24

Is opioid tolerance reversible?

Answer 24

Yes

Question 25

What is the max dose of Tylenol for chronic use?

Answer 25

2-3 grams per day

Question 26

What is the benefit of salsalate?

Answer 26

Lower risk of gastric side effects as compared to other NSAIDs

Question 27

What effect can ibuprofen have on a pt who takes ASA?

Answer 27

Can reduce cardiovascular benefits of ASA

Question 28

Which two NSAIDs do not interfere with platelet aggregation?

Answer 28

Cox-2 inhibitors and salsalate

Question 29

What should you monitor when first starting SNRI?

Answer 29

Blood pressure

Question 30

8% capsaicin must be applied by who?

Answer 30

A healthcare provider

Question 31

Gemfibrozil with a statin increases risk of what?

Answer 31

Myopathy/ rhabdo

Question 32

Can you give gemfibrozil with a statin?

Answer 32

No

Question 33

Can a fenofibrate be given with a statin?

Answer 33

Yes

Question 34

Which raises LDL, EPA or DHA?

Answer 34

DHA

Question 35

Canaglifozin raises risk of what?

Answer 35

Foot and leg amputations

Question 36

Can sulfonylureas be given to someone with a sulfa allergy?

Answer 36

No

Question 37

DDP4 inhibitors increase risk of what?

Answer 37

Heart failure

Question 38

Insulin can lower levels of which electrolyte?

Answer 38

Potassium

Question 39

What is the preferred first line agent in gestational diabetes?

Answer 39

Insulin

Question 40

What is the blood pressure goal for diabetics?

Answer 40

Less than 130/80

Question 41

Afreeza is contraindicated in diabetic pts with which comorbidities?

Answer 41

COPD/ asthma

Question 42

Which statin has the least drug-drug interactions?

Answer 42

Pravastatin

Question 43

When should ACE/ARB not be given to a diabetic pt?

Answer 43

If they have normal BP and normal urine creatinine