ANSWERS
Asthma & COPD therapy. correct answer SABA --> PRN
at what point would an oral steroid be prescribed? correct answer only when
symptoms cannot be controlled with safer medication. May be required for
patients with moderate to severe persistent asthma or for management of acute
exacerbations of asthma or COPD.
Benefits of ICS correct answer reduction and suppression of inflammation of
airways.
Benefits of LABA correct answer LABA are preferred over SABA's for patients with
stable COPD as they are better for long-term control.
Black box warning for Bupropion correct answer can cause serious
neuropsychiatric effects, including mood changes, erratic behavior, and
suicidality. All patients should be advised to contact their prescriber if they
experience significant changes in behavior or mental status. Should be used with
caution in patients with history of psychiatric disease.
Bupropion correct answer Use with caution in patients with history of seizure,
anorexia nervosa, cocaine use and alcohol withdrawal. Daily use for 12 weeks, if
abstinence is achieved, an additional 12 weeks of treatment is warranted.
Treatment should begin 1-2 weeks before smoking cessation.
Chantix correct answer 12 week course of therapy.
, COPD (A) correct answer (few symptoms, low risk)
Symptoms controlled by SABA. First choice recommendation LAMA or LABA
COPD (B) correct answer (increased symptoms, low risk) SABA for symptom
control, first choice LAMA or LABA and management of persistent symptoms of
further exacerbations combination LAMA/LABA
COPD (C) correct answer (few symptoms, high risk) SABA for symptom control,
first choice LAMA and management of persistent symptoms of further
exacerbations combination LAMA/LABA or LABA/IGS
COPD (D) correct answer (increase symptoms, high risk) SABA for symptom
control, first choice LAMA or LAMA/LABA or IGC/LABA and management of
persistent symptoms of further exacerbation combination LAMA/LABA/IGC, if
exacerbations continue, consider adding roflumilast azithromycin.
Examples of decongestants correct answer phenylephrine (Neo-Synephrine),
pseudoephedrine (Sudafed), Oxymetazoline (Afrin), Naphazoline (Privine),
Tetrahydrozoline (Tyzine), Xylometazoline (Otrivin)
gum adverse effects correct answer mouth and throat soreness, jaw muscle
aches, eructation (belching), and hiccups. Using optimal chewing techniques
minimizes these problems.
importance of frequency a patient is using their SABA correct answer to be able to
assess the severity of asthma symptoms in each patient, and if they need adjunct
treatments in more severe cases.