ADVANCED PHARMACOLOGY FOR
PRESCRIBERS (1ST EDITION) | LUU,
KAYINGO & HASS TEST BANK CHAPTER
1- 36 A
Exam
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - answerAlbuterol
Patients with pheochromocytoma should avoid which of the following classes of drugs
because of the possibility of developing hypertensive crisis?
1. Expectorants
2. Beta-2-agonists
3. Antitussives
4. Antihistamines - answerBeta-2-agonists
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier - answerSalmeterol, an inhaled long-acting beta-
agonist
Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food
and Drug Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
4. Risk for life-threatening alterations in electrolytes - answerIncreased risk of asthma-
related deaths when LTBAs are used
The bronchodilator of choice for patients taking propranolol is:
1. Albuterol
2. Pirbuterol
, 3. Formoterol
4. Ipratropium - answerIpratropium
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma.
He tells his provider he is going to start the Atkin's diet for weight loss. The appropriate
response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to
increased excretion of theophylline.
4. Decrease his theophylline dose because a high-protein diet may lead to elevated
theophylline levels. - answerRecommend he try stopping smoking instead of the Atkin's
diet.
Li takes theophylline for his persistent asthma and calls the office with a complaint of
nausea, vomiting, and headache. The best advice for him would be to:
1. Reassure him this is probably a viral infection and should be better soon
2. Have him seen the same day for an assessment and theophylline level
3. Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
4. Order a theophylline level at the laboratory for him - answerSchedule him for an
appointment in 2 to 3 days, which he can cancel if he is better
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - answerUsed for
the treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of
albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight
puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid
MDI to facilitate bronchodilation - answerBeclomethasone needs to be used every day
to treat her asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of patients
should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation
.2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
PRESCRIBERS (1ST EDITION) | LUU,
KAYINGO & HASS TEST BANK CHAPTER
1- 36 A
Exam
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - answerAlbuterol
Patients with pheochromocytoma should avoid which of the following classes of drugs
because of the possibility of developing hypertensive crisis?
1. Expectorants
2. Beta-2-agonists
3. Antitussives
4. Antihistamines - answerBeta-2-agonists
Harold, a 42-year-old African American, has moderate persistent asthma. Which of the
following asthma medications should be used cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier - answerSalmeterol, an inhaled long-acting beta-
agonist
Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food
and Drug Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
4. Risk for life-threatening alterations in electrolytes - answerIncreased risk of asthma-
related deaths when LTBAs are used
The bronchodilator of choice for patients taking propranolol is:
1. Albuterol
2. Pirbuterol
, 3. Formoterol
4. Ipratropium - answerIpratropium
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma.
He tells his provider he is going to start the Atkin's diet for weight loss. The appropriate
response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to
increased excretion of theophylline.
4. Decrease his theophylline dose because a high-protein diet may lead to elevated
theophylline levels. - answerRecommend he try stopping smoking instead of the Atkin's
diet.
Li takes theophylline for his persistent asthma and calls the office with a complaint of
nausea, vomiting, and headache. The best advice for him would be to:
1. Reassure him this is probably a viral infection and should be better soon
2. Have him seen the same day for an assessment and theophylline level
3. Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
4. Order a theophylline level at the laboratory for him - answerSchedule him for an
appointment in 2 to 3 days, which he can cancel if he is better
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
4. Combined with fluticasone for the treatment of persistent asthma - answerUsed for
the treatment of chronic obstructive pulmonary disease (COPD)
Christy has exercise-induced and mild persistent asthma and is prescribed two puffs of
albuterol 15 minutes before exercise and as needed for wheezing. One puff per day of
beclomethasone (QVAR) is also prescribed. Teaching regarding her inhalers includes:
1. Use one to two puffs of albuterol per day to prevent an attack with no more than eight
puffs per day
2. Beclomethasone needs to be used every day to treat her asthma
3. Report any systemic side effects she is experiencing, such as weight gain
4. Use the albuterol metered-dose inhaler (MDI) immediately after her corticosteroid
MDI to facilitate bronchodilation - answerBeclomethasone needs to be used every day
to treat her asthma
When prescribing montelukast (Singulair) for asthma, patients or parents of patients
should be instructed:
1. Montelukast twice a day is started when there is an asthma exacerbation
.2. Patients may experience weight gain on montelukast.
3. Aggression, anxiety, depression, and/or suicidal thoughts may occur when taking
montelukast.
