NSG 440 POPULATION HEALTH EXAM 2 2026
STUDY BUNDLE FULL QUESTIONS AND VERIFIED
100% CORRECT ANSWERS GRADED A+
◉ bronchitis (COPD) pathway to airflow limitation. Answer: -
continuous irritation from smoke/pollution > inflammation > bronchial
edema/hyper secretion of mucus > airway obstruction
◉ emphysema (COPD) pathway to airflow limitation. Answer: -
continuous irritation from smoke/pollution > inflammation > increased
protease activity > destruction of alveolar walls > airway obstruction
◉ considerations for metered dose inhalers (MDIs). Answer: - most
commonly prescribed
- must coordinate between activation and inhalation
- notorious for incorrect use: patient education necessary
- more drug reaches lungs with use of spacer (21% vs 9%)
◉ considerations for dry powder inhaler (DPIs). Answer: - activated by
inhalation (no coordination/spacer necessary)
- improved medication delivery to lungs
◉ considerations for nebulizers. Answer: - fine mist droplets
- no coordination necessary
,- powered equipment (not portable, needs battery or plug)
◉ considerations for respimats. Answer: - better than other drug
inhalation delivery devices
- activated by inhalation (no coordination)
- fine mist droplets (better delivery to lower respiratory tract)
- portable
◉ Uses for pulmonary glucocorticoids. Answer: asthma and COPD
◉ routes for pulmonary glucocorticoids. Answer: - oral
- parenteral
- inhalation
◉ mechanism of pulmonary glucocorticoids. Answer: - anti-
inflammatory
- immunosuppressant
◉ pulmonary glucocorticoid prototypes (and their routes). Answer: -
fluticasone/budesonide (inhalation)
- prednisone/prednisolone (oral)
- methylprednisolone (IV)
,◉ indications for pulmonary glucocorticoids. Answer: *prophylaxis for
obstructive airway diseases*
- inhaled
- on a fixed schedule
- controller medication
*temporary use for severe obstructive disease when unable to deliver
drug via inhalation*
- oral or parenteral
- ex: no airway movement during status asthmaticus finch
◉ side effects for pulmonary glucocorticoids. Answer: - thrush (oral
candidiasis): rinse mouth after usage of inhaled agents to prevent this
- hyperglycemia
- peptic ulcer disease
theoretical side effects
- immunosuppression
- skeletal muscle growth suppression in children
- bone loss
- adrenal suppression
, ◉ why are side effects of inhaled glucocorticoids rare (other than
thrush)?. Answer: These side effects are predictable for glucocorticoid
use. However, the inhaled dose for asthma patients is typically too low
to elicit any of these effects. They may be seen during long term oral
use, which is also uncommon for asthma patients.
◉ short acting beta agonists (SABA) prototype and route. Answer: -
albuterol
- oral or inhaled
◉ long acting beta agonists (LABA) prototype. Answer: Salmeterol
◉ "-terol" mechanism of action. Answer: - beta 2 agonist
- epinephrine and "-terols"
◉ Short acting beta agonist (SABA) indications. Answer: quick relief
during asthma (or similar) exacerbation
◉ long acting beta agonist (LABA) indications. Answer: - long term
control of asthma
- must be combined with glucocorticoids
◉ side effects of -terols. Answer: - tachycardia is most common
STUDY BUNDLE FULL QUESTIONS AND VERIFIED
100% CORRECT ANSWERS GRADED A+
◉ bronchitis (COPD) pathway to airflow limitation. Answer: -
continuous irritation from smoke/pollution > inflammation > bronchial
edema/hyper secretion of mucus > airway obstruction
◉ emphysema (COPD) pathway to airflow limitation. Answer: -
continuous irritation from smoke/pollution > inflammation > increased
protease activity > destruction of alveolar walls > airway obstruction
◉ considerations for metered dose inhalers (MDIs). Answer: - most
commonly prescribed
- must coordinate between activation and inhalation
- notorious for incorrect use: patient education necessary
- more drug reaches lungs with use of spacer (21% vs 9%)
◉ considerations for dry powder inhaler (DPIs). Answer: - activated by
inhalation (no coordination/spacer necessary)
- improved medication delivery to lungs
◉ considerations for nebulizers. Answer: - fine mist droplets
- no coordination necessary
,- powered equipment (not portable, needs battery or plug)
◉ considerations for respimats. Answer: - better than other drug
inhalation delivery devices
- activated by inhalation (no coordination)
- fine mist droplets (better delivery to lower respiratory tract)
- portable
◉ Uses for pulmonary glucocorticoids. Answer: asthma and COPD
◉ routes for pulmonary glucocorticoids. Answer: - oral
- parenteral
- inhalation
◉ mechanism of pulmonary glucocorticoids. Answer: - anti-
inflammatory
- immunosuppressant
◉ pulmonary glucocorticoid prototypes (and their routes). Answer: -
fluticasone/budesonide (inhalation)
- prednisone/prednisolone (oral)
- methylprednisolone (IV)
,◉ indications for pulmonary glucocorticoids. Answer: *prophylaxis for
obstructive airway diseases*
- inhaled
- on a fixed schedule
- controller medication
*temporary use for severe obstructive disease when unable to deliver
drug via inhalation*
- oral or parenteral
- ex: no airway movement during status asthmaticus finch
◉ side effects for pulmonary glucocorticoids. Answer: - thrush (oral
candidiasis): rinse mouth after usage of inhaled agents to prevent this
- hyperglycemia
- peptic ulcer disease
theoretical side effects
- immunosuppression
- skeletal muscle growth suppression in children
- bone loss
- adrenal suppression
, ◉ why are side effects of inhaled glucocorticoids rare (other than
thrush)?. Answer: These side effects are predictable for glucocorticoid
use. However, the inhaled dose for asthma patients is typically too low
to elicit any of these effects. They may be seen during long term oral
use, which is also uncommon for asthma patients.
◉ short acting beta agonists (SABA) prototype and route. Answer: -
albuterol
- oral or inhaled
◉ long acting beta agonists (LABA) prototype. Answer: Salmeterol
◉ "-terol" mechanism of action. Answer: - beta 2 agonist
- epinephrine and "-terols"
◉ Short acting beta agonist (SABA) indications. Answer: quick relief
during asthma (or similar) exacerbation
◉ long acting beta agonist (LABA) indications. Answer: - long term
control of asthma
- must be combined with glucocorticoids
◉ side effects of -terols. Answer: - tachycardia is most common
