Respiratory system

Question 1

State eg of a SABA

Answer 1

Salbutamol

Question 2

Eg of LABA

Answer 2

Salmeterol

Question 3

What’s MART

Answer 3

Maintenance and reliever therapy

Question 4

MART is a combination of ..

Answer 4

ICS and LABA
Eg Salmeterol and beclometasone

Question 5

Give example of MART

Answer 5

Fostair( Beclometasone and Formeterol)
Symbicort (Budesonide and Formeterol)

Question 6

Eg of LAMA

Answer 6

Tiotropium

Question 7

Step 1 tx for asthma for 17yrs and above

Answer 7

Intermittent Reliever therapy
SABA eg Terbutaline( bricanyl) or salbutamol
Fast acting Inhaler for quick relief of symptoms

Question 8

State when to move from step 1 asthma management to step 2

Answer 8

If the inhaler does not help and one of the following applies
1. Asthma symptoms > or = 3x/week
2. Waking at Night because of symptoms
3. Asthma uncontrolled with SAB alone

Question 9

Step 2 Asthma Management for 17yrs and above

Answer 9

Preventer/ Maintenance
SABA + Low dose ICS
Blue + Brown
Eg Qvar Beclometasone 500mcg in two divided doses or Budesonide 400mcg in two divided doses

Question 10

Step 3 Management for 17yrs and above

Answer 10

SABA +ICS + LEUKOTRIENE RECEPTOR ANTAGONIST

Question 11

State when to Add lABA

Answer 11

If Step 1- 3 management does not control the ASTHMA

Question 12

Management of asthma in children under 5yrs

Answer 12

SABA plus ICS and LTRA

Question 13

What drug in contraindicated in the management of asthma in children under 5

Answer 13

LABA,LAMA or THEOPHYLLINE

Question 14

Step tx for under 5

Answer 14

Reliever inhaler
SABA with appropriate spacer

Question 15

Step 2 tx in under 5

Answer 15

SABA plus paediatric moderate dose ICS EASI breathe QVar 8wk trial
Stop ICS after 8wks and monitor child symptoms
If symptoms get better but start again within 4wks of stopping ICS tx
Start ICS again at paediatric dose
If this doesn’t help, move to the next step

Question 16

Step 3 tx for under 5

Answer 16

SABA + ICS and LTR
If this doesn’t help
Stop LTRA
Refer to HCp
If ICS is CI , give LTRA

Question 17

Management of ASTHMA in 5-16yrs

Answer 17

Step 1- Releiver eg salbutamol
Step 2: SABA + Low dose Paediatric ICS
Step 3: Step 1 + 2 plus LTRA
If above doesn’t help,might stop LTRA and review
SABA plus ICS plus LABA

Question 18

Step 3 add on therapy for 5-16

Question 19

Drugs used in COPD(Inhalers)

Answer 19

LAMA- Tiotropium
SABA- Ipratropium
High dose inhaled ICS

Question 20

Example of mucolytics used in COPD

Answer 20

Carbocysteine
For chronic productive cough