, NU 636 QUIZ 3 | QUESTIONS AND
ANSWERS | 2026 UPDATE | 100% CORRECT
- HERZING UNIVERSITY.
SECTION 1: RESPIRATORY PHARMACOLOGY (Asthma,
COPD, Bronchitis)
Q1. A mother brings in her 2-year-old child describing symptoms
over the last couple weeks of an increased cough at night and
audible wheeze almost daily with relief for a short period of time
from use of a short-acting beta2 agonist. Treatment of these
moderate persistent asthma symptoms in this child would include:
A. Adding an oral antihistamine for the cough daily
B. Adding an Advair 100/50 (fluticasone/salmeterol) diskus BID
C. Adding 1.0mg Pulmicort respules (budesonide) via nebulizer BID
D. Adding Atrovent 2.0% (ipratropium bromide) solution via nebulizer TID
Correct Answer: C. Adding 1.0mg Pulmicort respules (budesonide) via
nebulizer BID
Rationale: This child has moderate persistent asthma (nighttime symptoms,
daily wheezing). The preferred treatment is a low-dose inhaled corticosteroid
(ICS) like budesonide. Advair is a combination ICS/LABA, which is not first-line
in children this age due to safety concerns. Oral antihistamines treat
allergies but not asthma inflammation. Atrovent is an anticholinergic used as
add-on therapy, not first-line for persistent asthma .
Q2. You are seeing a patient who comes in with a complaint of onset
of a cough about 5 days ago. The patient says they had a sore
throat when they first got sick but that only lasted a couple days.