respiratory

Question 1

1st line for asthma

Answer 1

salbutamol

Question 2

2nd line for asthma

Answer 2

beclometasone

Question 3

the 3 criterias in which you would add 2nd line

Answer 3

using saba 3+ times a week, symptomatic 3+ times a week and waking at night 1+ times a week

Question 4

3rd line for asthma

Answer 4

montelukast (leukotriene receptor antagonist) and laba (salmeterol)

Question 5

4th line for asthma

Answer 5

ics + laba + montelukast

Question 6

list 2 saba (generic and brand)

Answer 6

salbutamol - easyhaler

terbutaline - turbohaler

Question 7

list 1 sama (generic and brand)

Answer 7

ipratropium bromide - atrovent

Question 8

list 4 laba (generic and brand)

Answer 8

salmeterol - accuhaler
olodaterol - respimat
formoterol - easyhaler
indacaterol - breezhaler

Question 9

list 4 lama (generic and brand)

Answer 9

glycopyrronium - breezhaler
tiotropium - respimat
umeclidinium - ellipta
aclidinium - genuair

Question 10

list 3 ics (generic and brand)

Answer 10

beclometasone - clenil
budesonide - easyhaler
fluticasone propionate - accuhaler

Question 11

2nd step - if fev1 is <50 in copd you prescribe either…

Answer 11

laba + ics or lama stop sama

Question 12

2nd step - if fev1 is >50 in copd you prescribe either…

Answer 12

laba or lama stop sama

Question 13

3rd step in copd which three inhalers do you prescribe…

Answer 13

lama, laba and ics

Question 14

minimum age of piriton

Answer 14

1 year old

Question 15

first trimester allergies tx

Answer 15

chlorphenamine

Question 16

adrenaline dose for 6-11 year old

Answer 16

300mcg

Question 17

adrenaline dose for 1 month - 5 year old

Answer 17

150mcg

Question 18

what do you prescribe a 14 year old asthmatic with uncontrolled symptoms and his on preventer and reliever

Answer 18

oral montelukast

Question 19

7 yr old severe acute asthma unable to swallow tx

Answer 19

iv hydrocortisone

Question 20

34 yr old male on max slophyllin (theophylline) caps admitted to hospital 4 times in 3 months tx

Answer 20

oral prednisolone

Question 21

theophylline overdose 2 symptoms

Answer 21

nausea, tachycardia

Question 22

theophylline side effect

Answer 22

arrhythmia

Question 23

theophylline target level

Answer 23

10-20mg/l

Question 24

duaklir genuair instructions

Answer 24

press and release orange button. exhale. breathe strongly + deeply

Question 25

action with tiotropium if egfr <50

Answer 25

caution

Question 26

tiotropium side effect

Answer 26

dry mouth

Question 27

salbutamol electrolyte imbalance

Answer 27

hypokalaemia

Question 28

montelukast side effect

Answer 28

hyperkinesia (muscle spasm)

Question 29

salbutamol + furosemide electrolyte imbalance

Answer 29

hypokalaemia

Question 30

which 2 types of inhalers does tiotropium come in

Answer 30

breathactuated and soft mist

Question 31

theophylline interacts with…

Answer 31

ciprofloxacin

Question 32

guaifenesin treats a…

Answer 32

chesty cough

Question 33

age for codeine linctus

Answer 33

18

Question 34

copd exacerbation 1st line

Answer 34

doxycycline

Question 35

which microorganism causes copd exacerbations

Answer 35

streptococcus pneumoniae

Question 36

roflumilast side effect

Answer 36

weight loss

Question 37

name two indications, one counselling point and one contraindication for carbocisteine

Answer 37

community-acquired pneumonia, copd
not a short course medication, more of a days-weeks medication
active peptic ulceration

Question 38

peak flow 5 instructions

Answer 38

1. red arrow nearest to mouthpiece
2. stand/sit
3. deep breath
4. blow hard and fast
5. 3x

Question 39

how long after starting ORAL tx should plasma conc of theophylline be measured

Answer 39

5 days

Question 40

which inhaler is round and grey

Answer 40

Spiriva Handihaler