EXAM PAPER 3 2026 TESTED QUESTIONS AND
SOLUTIONS GUARANTEED TO PASS
◉ What are the GINA guidelines used for? Answer: They provide a
stepwise approach to asthma management, improving long-term
control and reducing exacerbations.
◉ What is the shift in asthma management regarding SABA inhalers?
Answer: Management is moving away from using SABAs alone as
monotherapy, as this leads to under-treatment of underlying
inflammation.
◉ What is SMART therapy in asthma management? Answer: Single
Maintenance and Reliever Therapy uses one inhaler containing both
an ICS and Formoterol for daily maintenance and as-needed relief.
◉ What is the cornerstone of maintenance therapy for persistent
asthma? Answer: Inhaled Corticosteroids (ICS) are the cornerstone,
with LABAs added as severity increases.
◉ What are the safety warnings regarding LABAs in asthma
treatment? Answer: LABAs must never be used as monotherapy due
to increased risks of exacerbations, hospitalizations, and death.
,◉ What is the role of the nurse practitioner in opioid prescribing?
Answer: They must manage long-term risks, understand tolerance,
dependence, and addiction, and ensure safe prescribing practices.
◉ Define tolerance in the context of opioid use. Answer: Tolerance is
a normal physiological response requiring higher doses to achieve
the same analgesic effect.
◉ What is the antidote for acetaminophen overdose? Answer: N-
acetylcysteine (NAC) is the antidote, effective if given within 8-10
hours of ingestion.
◉ What is the mechanism of action of N-acetylcysteine? Answer: It
replenishes glutathione stores, allowing the toxic metabolite NAPQI
to be safely eliminated.
◉ What is the antidote for benzodiazepine overdose? Answer:
Flumazenil is the antidote, but it is rarely used due to risks of severe
withdrawal in dependent patients.
◉ What is the mechanism of action of naloxone? Answer: Naloxone
is a competitive antagonist at the mu-opioid receptor, reversing the
effects of opioids.
, ◉ What is a high-yield risk when combining SSRIs with triptans?
Answer: The risk of Serotonin Syndrome due to additive
serotonergic effects.
◉ What specific opioid poses a risk of Serotonin Syndrome when
combined with SSRIs? Answer: Tramadol (Ultram) poses this risk
due to its dual action as an opioid and serotonin reuptake inhibitor.
◉ What are the therapeutic goals for Alzheimer's management?
Answer: To manage symptoms and slow progression of the disease.
◉ What are the mechanisms of action for cholinesterase inhibitors?
Answer: They inhibit the breakdown of acetylcholine, increasing its
availability in the synapse.
◉ What is the role of buprenorphine in opioid use disorder?
Answer: Buprenorphine is used to treat opioid dependence by
reducing withdrawal symptoms and cravings.
◉ What are the side effects of medications for Parkinson's disease?
Answer: Common side effects include nausea, dizziness, and
dyskinesias.