2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ In the treatment of pneumonia, a macrolide such as clarithromycin
should NOT be coadministered with:
acetaminophen.
atorvastatin.
furosemide.
propanolol.. Ans: atorvastatin.
coadministration of a HMG-CoA reductase inhibitor & certain
macrolide antibiotics, like clindamycin, can lead to debilitating
myelopathy and rhabdo
◍ Robitussin DM is a combination of dextromethorphan and:
benzonatate.
benzocaine.
guaifenesin.
phenylephrine.. Ans: guaifenesin.
+ dexamethasone
, ◍ Xanthines such as theophylline, used in the treatment of COPD,
cause bronchodilation by:
blocking the action of acetylcholine.
decreasing the activity of inflammatory mediators.
relaxing the smooth muscles of the bronchi.
stimulating beta 2 receptors.. Ans: relaxing the smooth muscles of the
bronchi.
◍ When considering the use of theophylline to treat chronic
bronchitis, its use is limited due to:
low-risk profile.
minimal effects on lung function.
wide therapeutic window.
frequent drug-drug interactions.. Ans: frequent drug-drug interactions.
◍ For asthma symptoms occurring daily with nighttime symptoms
greater than one time per week, the preferred daily treatment is a:
long-acting bronchodilator.
long-acting bronchodilator and an inhaled corticosteroid.
long-acting bronchodilator and a leukotriene receptor antagonist.
high-dose inhaled corticosteroid and theophylline.. Ans: long-acting
bronchodilator and an inhaled corticosteroid.
◍ For complaints of dysphonia related to the use of mometasone
(Asmanex), the patient should be advised to:
, stop the inhaler immediately.
decrease the dosage.
apply an oropharyngeal analgesic prior to use.
utilize a spacer for administration.. Ans: Utilize a spacer for
administration.
◍ Doxycycline (Vibramycin) is the preferred treatment of pneumonia
caused by:
Haemophilus influenzae.
Mycoplasma pneumoniae.
Staphylococcus aureus.
Streptococcus pneumoniae.. Ans: Mycoplasma pneumoniae.
◍ Long-acting bronchodilators, such as salmeterol (Serevent
Diskus), are indicated in the treatment of:
intermittent asthma in patients 12 years and older.
exercise-induced asthma when the short-acting bronchodilator is
ineffective.
mild persistent asthma in ages 5-11 years.
moderate persistent asthma in 5-11-year-olds, when combined with
low-dose inhaled steroid.. Ans: moderate persistent asthma in 5-11-
year-olds, when combined with low-dose inhaled steroid.
◍ Patient instructions for the use of inhaled steroids would NOT
include to:
hold breath for 5-10 seconds after deeply inhaling the medication.