1
615-Pharm Exam 4 complete solution
1. Digoxin levels need to be monitored closely when the following medication is
started:
1 Loratadine
.
2 Diphenhydramine
.
3 Ipratropium
.
4 Albuterol
.
Albuterol
2. 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
.
Beta 2-agonists
3. Stan, 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
.
Salmeterol, an inhaled long-acting beta-agonist
4. 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
, 2
.
3 Increased risk of asthma-related deaths when LTBAs are
. used
4 Risk for life-threatening alterations in electrolytes
.
Increased risk of asthma-related deaths when LTBAs are used
5. The bronchodilator of choice for patients taking propranolol is:
1 Albuterol
.
2 Pirbuterol
.
3 Formoterol
.
4 Ipratropium
.
Ipratropium
6. Mathew 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.
Recommend smoking cessation
7. Marty 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
.
Schedule him an appointment in 2-3 days
, 3
8. 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
Tx for COPD
9. Angela 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:
1 Use one to two puffs of albuterol per day to prevent an
. attack with no more than eight puffs per day
2 Beclomethasone needs to be used every day to treat her
. asthma
3 Report any systemic side effects she is experiencing, such as
. weight gain
4 Use the albuterol metered-dose inhaler (MDI) immediately
. after her corticosteroid MDI to facilitate bronchodilation
Beclomethasone needs to be used every day
10. When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1 Montelukast twice a day is started when there is an asthma
. exacerbation.
2 Patients may experience weight gain on montelukast.
.
3 Aggression, anxiety, depression, and/or suicidal thoughts
. may occur when taking montelukast.
4 Lethargy and hypersomnia may occur when taking
. montelukast.
Watch for aggression, anxiety, depression, and suicidal toughts
11. Montelukast (Singulair) may be prescribed for:
1. A 6-year-old child with exercise-induced asthma
2. A 2-year-old child with moderate persistent asthma
3. An 18-month-old child with seasonal allergic rhinitis
4 None of the above; montelukast is not approved for use in
. children
2 year old child with moderate persistent asthma
615-Pharm Exam 4 complete solution
1. Digoxin levels need to be monitored closely when the following medication is
started:
1 Loratadine
.
2 Diphenhydramine
.
3 Ipratropium
.
4 Albuterol
.
Albuterol
2. 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
.
Beta 2-agonists
3. Stan, 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
.
Salmeterol, an inhaled long-acting beta-agonist
4. 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
, 2
.
3 Increased risk of asthma-related deaths when LTBAs are
. used
4 Risk for life-threatening alterations in electrolytes
.
Increased risk of asthma-related deaths when LTBAs are used
5. The bronchodilator of choice for patients taking propranolol is:
1 Albuterol
.
2 Pirbuterol
.
3 Formoterol
.
4 Ipratropium
.
Ipratropium
6. Mathew 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.
Recommend smoking cessation
7. Marty 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
.
Schedule him an appointment in 2-3 days
, 3
8. 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
Tx for COPD
9. Angela 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:
1 Use one to two puffs of albuterol per day to prevent an
. attack with no more than eight puffs per day
2 Beclomethasone needs to be used every day to treat her
. asthma
3 Report any systemic side effects she is experiencing, such as
. weight gain
4 Use the albuterol metered-dose inhaler (MDI) immediately
. after her corticosteroid MDI to facilitate bronchodilation
Beclomethasone needs to be used every day
10. When prescribing montelukast (Singulair) for asthma, patients or parents of
patients should be instructed:
1 Montelukast twice a day is started when there is an asthma
. exacerbation.
2 Patients may experience weight gain on montelukast.
.
3 Aggression, anxiety, depression, and/or suicidal thoughts
. may occur when taking montelukast.
4 Lethargy and hypersomnia may occur when taking
. montelukast.
Watch for aggression, anxiety, depression, and suicidal toughts
11. Montelukast (Singulair) may be prescribed for:
1. A 6-year-old child with exercise-induced asthma
2. A 2-year-old child with moderate persistent asthma
3. An 18-month-old child with seasonal allergic rhinitis
4 None of the above; montelukast is not approved for use in
. children
2 year old child with moderate persistent asthma
