Advanced Pharmacology- Exam #2 Questions
With Correct Answers
Digoxin levels need to be monitored closely when the following medication is
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started:
1. Loratadine
|
2. Diphenhydramine
|
3. Ipratropium
|
4. Albuterol - CORRECT ANSWER✔✔-Albuterol
| | | |
Patients with pheochromocytoma should avoid which of the following classes of
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drugs because of the possibility of developing hypertensive crisis?
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1. Expectorants
|
2. Beta-2-agonists
|
3. Antitussives
|
4. Antihistamines - CORRECT ANSWER✔✔-Beta-2-agonists
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Harold, a 42-year-old African American, has moderate persistent asthma. Which
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of the following asthma medications should be used cautiously, if at all?
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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 - CORRECT ANSWER✔✔-Salmeterol, 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 - CORRECT ANSWER✔✔-
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Increased risk of asthma-related deaths when LTBAs are used
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The bronchodilator of choice for patients taking propranolol is:
| | | | | | | |
1. Albuterol
|
2. Pirbuterol
|
3. Formoterol
|
4. Ipratropium - CORRECT ANSWER✔✔-Ipratropium
| | | |
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.
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The appropriate response would be:
| | | |
1. Congratulate him on making a positive change in his life.
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2. Recommend he try stopping smoking instead of the Atkin's diet.
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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. - CORRECT ANSWER✔✔-Recommend 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 - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
Schedule 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 - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Used 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:
| |
With Correct Answers
Digoxin levels need to be monitored closely when the following medication is
| | | | | | | | | | | |
started:
1. Loratadine
|
2. Diphenhydramine
|
3. Ipratropium
|
4. Albuterol - CORRECT ANSWER✔✔-Albuterol
| | | |
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 - CORRECT ANSWER✔✔-Beta-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 - CORRECT ANSWER✔✔-Salmeterol, 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 - CORRECT ANSWER✔✔-
| | | | | | | | |
Increased 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 - CORRECT ANSWER✔✔-Ipratropium
| | | |
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. - CORRECT ANSWER✔✔-Recommend 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 - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
Schedule 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 - CORRECT
| | | | | | | | | | | |
ANSWER✔✔-Used 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:
| |
