Respiratory

Question 1

SABAs

Answer 1

Salbutamol, terbutaline (usu in turbuhaler) [asthma]

Question 2

SABA side-effects

Answer 2

Fine tremor, palpitations, tachycardia, headaches

Question 3

Inhaled corticosteroids

Answer 3

Beclomethasone, budesonide, fluticasone [asthma]

Question 4

Inhaled corticosteroids side-effects

Answer 4

Oral candidiasis, adrenal suppression

Question 5

LABAs

Answer 5

Salmeterol, formeterol [asthma]

Question 6

Combination inhalers

Answer 6

Seretide (salmeterol, fluticasone), sybicort (formeterol, budesonide), fostair (formeterol, beclamethasone) [asthma]

Question 7

SAMA

Answer 7

ipratropium [COPD]

Question 8

SAMA/LAMA side-effects

Answer 8

Anticholintergic effects: dry mouth, blurred vision, unrinary retention, constipation etc.

Question 9

LAMA

Answer 9

tiotropium [COPD] - should NOT be prescribed together with SAMA

Question 10

Other COPD drugs

Answer 10

Mucolytic (carbocysteine), phosphodiesterase type-4 inhibitor (roflumilast), vaccinations (pneumococcus, flu)

Question 11

Home oxygen therapy indications

Answer 11

COPD PaO2 55%) or PHTN

Question 12

Acute exacerbation COPD

Answer 12

Bronchodilators (SABA, SAMA), corticosteroids (oral pred/IV hydrocort), abx if infection (doxy/clarithro),
severe: aminophylline, NIV/CPAP

Question 13

Other asthma drugs

Answer 13

LRA (montelukast/zafirlukast), xanthine bronchodilator (theophylline, aminophylline - IV theoph + EDTA), MAB (omalizumab)