Respiratory Quiz Flashcards
Which of the following are short acting beta agonists (Check those that apply)
salbutamol
terbutaline
formoterol
salmeterol
- salbutamol
- terbutaline
Which of the following statements correctly differentiates between asthma and COPD (check those that apply)
- Breathlessness is variable in COPD but more progressive and persistent in asthma
- Symptoms in COPD are intermittent and variable, whereas in asthma they are progressive and worsening
- The pathophysiology involved in asthma is primarily eosinophilic, where in COPD it is neutrophilic
- The pathophysiology involved in asthma is primarily eosinophilic, where in COPD it is neutrophilic
A patient complains of dry mouth after using his inhaler, which drug would be most likely responsible for this adverse effect?
salbutamol
fluticasone
vilanterol
ipratropium
ipratropium
Which of the following patients should be screened for asthma or COPD with a spirometry test?
A 28 year old smoker with an 8 pack year history of smoking, with a chronic cough
A 12 year old boy with chronic urticaria and eczema
A 70 year old ex-smoker (quit 5 years ago) with a 20 pack year history of smoking, but has no complaints
A 42 year old ex-smoker (quit 2 years ago) with a 10 pack year history of smoking and has a chronic cough with sputum production
A 34 year old male with a sedentary lifestyle who is frequently short on breath with strenuous activity
- A 42 year old ex-smoker (quit 2 years ago) with a 10 pack year history of smoking and has a chronic cough with sputum production
What is the post-bronchodilator FEV1/FVC ratio on spirometry that is used to confirm a diagnosis of COPD?
0.7
A patient with COPD has an FEV1 is 57%. Her stage of COPD would be considered:
Moderate
Which is the appropriate way to use the Advair (salmeterol/fluticasone) Diskus?
Prepare the dose. Place lips around the mouthpiece. Exhale into the device. Inhale steadily and deeply. Hold breath for 10 seconds, and breathe out slowly.
Which of the following long acting beta agonists is NOT indicated in asthma?
formoterol
salmeterol
vilanterol
olodaterol
- olodaterol
A patient with COPD is considered to be at ‘high risk’ of exacerbation if they had:
At least 1 moderate or severe exacerbation in the last year requiring a hospital admission or ED visit
At least 2 moderate or severe exacerbations in the last year requiring a hospital admission or ED visit
At least 2 moderate or at least 1 severe exacerbations in the last year requiring a hospital admission or ED visit
At least 3 moderate or at least 1 severe exacerbations in the last year requiring a hospital admission or ED visit
At least 2 moderate or at least 1 severe exacerbations in the last year requiring a hospital admission or ED visit
Which bronchodilator has the longest duration of action?
Aclindinium
Salmeterol
Formoterol
Ipratropium
Umeclidinium
Umeclidinium
A 20-year old male with asthma is using salbutamol ~ 5 times per week. Which is the best option?
add a LABA to the ICS
The CAT test is:
used to measure the impact of COPD on a person’s life
What is important to talk about with the parents of a 6 year old boy being prescribed oral prednisolone?
- He may experience an upset stomach (nausea, vomiting) and may be more irritable for the next week
Which of the following is not a biologic used in the treatment of severe asthma?
mepolizumab
omalizumab
venralizumab
benralizumab
venralizumab
The usual initial first choice of therapy for a patient with stable COPD whose mMRC is 1 and has a low risk of future exacerbations is?
LAMA
Which is the starting treatment for a person with COPD at high risk of future exacerbations?
LAMA/LABA
An 18 year old woman has an acute asthma flare. Which medication should most likely be added?
prednisone
The single biggest risk factor for COPD is:
a history of smoking
Which device would you likely want to avoid in someone with arthritis and poor dexterity?
genuair
turbuhaler
diskus
breezhaler
breezhaler
After initiating an inhaled corticosteroid for asthma, improvement in symptoms would be expected to start to occur _______.
within 2-14 days
Regarding the use of long acting beta2 agonists (LABAs) in asthma and COPD which of the following is TRUE?
LABAs should never be used as monotherapy in asthma
LABAs should never be used as monotherapy in COPD
LABAs should never be used as monotherapy in both asthma and COPD
LABAs should never be used in children less than 12
LABAs should never be used as monotherapy in asthma
Which of the following systemic corticosteroid doses is the most potent?
methylprednisolone 8mg
triamcinolone 10mg
prednisone 15mg
hydrocortisone 18mg
methylprednisolone 8mg
Which of the following drugs is not used in the treatment of COPD?
roflumilast
azithromycin
N-acetylcysteine
omalizumab
omalizumab
Which of the following devices are considered dry powdered inhalers? (check all that apply)
Ellipta
Genuair
MDI
Respimat
Turbuhaler
- Ellipta
- Genuair
- Turbuhaler
