Maryville pharm Exam 4-Questions &
Correct Answers
What are important counseling points when administering antacids? - CORRECT
ANSWERS-MUST BE SEPARATED FROM OTHER MEDS BY 1 HOUR; must be
completely chewed and followed with water. Drink 2-4 ounces of water after taking the
liquid antacid; can cause diarrhea (magnesium) or constipation (aluminum)
How does loperamide (Imodium) treat diarrhea? (MOA) - CORRECT ANSWERS-
(Opioid receptor agonists) Slows gastric motility and reduces fluid and electrolyte loss
from diarrhea
You have a 3 year old patient with a cough and a URI. What is your first line of
treatment? - CORRECT ANSWERS-fluids and comfort care
Which anti-asthma agent aggravates pulmonary beta receptors and increasing cyclic
AMP? - CORRECT ANSWERS-Short acting beta agonists (SABA) like Albuterol
What is the Black box warning with LABA - CORRECT ANSWERS-when used as
monotherapy there is an increased risk of asthma-related deaths; must be used in
combo with ICS
MOA/ Primary use of Tiotropium (Spiriva)-muscarinic receptor agonist - CORRECT
ANSWERS-Tx for COPD; Acts on M3 muscarinic receptors on smooth muscle cells and
submucosal glands which leads to reduction in smooth muscle contraction & mucus
secretion producing BRONCHODILATORY EFFECTS
Which antiasthma agents activate pulmonary beta receptors and increase a cyclic AMP
(cAMP)? - CORRECT ANSWERS-SABA
What special populations should not be prescribed pseudoephedrine or phenylephrine -
CORRECT ANSWERS-Do not use in children 4 years old or younger; elderly; pts with
HTN or CVD
When prescribing singular for asthma, what is an important counseling point -
CORRECT ANSWERS-Can cause aggression, anxiety, depression, suicide, night
terrors
Contraindications to antihistamines are considered in what patient group? - CORRECT
ANSWERS-Elderly, patients with BPH. & High doses can cause hallucinations
What is the MOA of inhaled corticosteroids when treating asthma? - CORRECT
ANSWERS-Produces anti-inflammatory effects and should be used as preventative
therapy only. block formation of six different inflammatory mediators
, When using oral inhaled corticosteroids for asthma or COPD, what is a potential
adverse effect that patients should be aware of? - CORRECT ANSWERS-Oral
candidiasis, thrush, does not help with acute attacks (rinse with water after use).
What are antihistamines used for? - CORRECT ANSWERS-Allergic rhinitis, pruritis,
urticaria, insomnia, N/V, cold symptoms
Adverse effects that can be seen with antihistamines - CORRECT ANSWERS-
anticholinergic effects associated with 1st generations
"can't see, can't pee, can't spit, can't sh*t"
Sedation, dry mouth, urinary retention
What are decongestants used for; most common ones? - CORRECT ANSWERS-Nasal
congestion and improve eustachian tube function; pseudoephedrine
What are Expectorants used for; most common ones? - CORRECT ANSWERS-
Management of cough associated with bronchitis, colds, sinusitis, etc; Guaifenesin
What are antitussives for & MOA? - CORRECT ANSWERS-Suppress dry hacking
coughs; act in the cough center in the medulla to suppress cough; benzonatate
anesthetizes the stretch receptors in the lungs
Which antihistamines are most likely to exhibit anticholinergic effects? - CORRECT
ANSWERS-1st generation; diphenhydramine
What is the MOA of H2 receptor antagonists? - CORRECT ANSWERS-Blocks the
action of histamine H2 receptors in the stomach
What can be an issue with long term stimulant laxative use? - CORRECT ANSWERS-
dependence
What is the MOA of docusate? - CORRECT ANSWERS-Works by allowing more water
and lipids to be absorbed by the feces reducing surface tension
What receptor system is affected or interacted with when prescribing Ondansetron
(Zofran) - CORRECT ANSWERS-serotonergic
What is the MOA of PPI - CORRECT ANSWERS-They irreversibly block the final stage
of stomach acid production, namely, the gastric proton pump (ATPA) of the gastric
parietal cells
What patient should avoid using bismuth salicylate? - CORRECT ANSWERS-Children
with chicken pox or flu like symptoms. Can cause Reye's symptoms due to ASA
properties
Correct Answers
What are important counseling points when administering antacids? - CORRECT
ANSWERS-MUST BE SEPARATED FROM OTHER MEDS BY 1 HOUR; must be
completely chewed and followed with water. Drink 2-4 ounces of water after taking the
liquid antacid; can cause diarrhea (magnesium) or constipation (aluminum)
How does loperamide (Imodium) treat diarrhea? (MOA) - CORRECT ANSWERS-
(Opioid receptor agonists) Slows gastric motility and reduces fluid and electrolyte loss
from diarrhea
You have a 3 year old patient with a cough and a URI. What is your first line of
treatment? - CORRECT ANSWERS-fluids and comfort care
Which anti-asthma agent aggravates pulmonary beta receptors and increasing cyclic
AMP? - CORRECT ANSWERS-Short acting beta agonists (SABA) like Albuterol
What is the Black box warning with LABA - CORRECT ANSWERS-when used as
monotherapy there is an increased risk of asthma-related deaths; must be used in
combo with ICS
MOA/ Primary use of Tiotropium (Spiriva)-muscarinic receptor agonist - CORRECT
ANSWERS-Tx for COPD; Acts on M3 muscarinic receptors on smooth muscle cells and
submucosal glands which leads to reduction in smooth muscle contraction & mucus
secretion producing BRONCHODILATORY EFFECTS
Which antiasthma agents activate pulmonary beta receptors and increase a cyclic AMP
(cAMP)? - CORRECT ANSWERS-SABA
What special populations should not be prescribed pseudoephedrine or phenylephrine -
CORRECT ANSWERS-Do not use in children 4 years old or younger; elderly; pts with
HTN or CVD
When prescribing singular for asthma, what is an important counseling point -
CORRECT ANSWERS-Can cause aggression, anxiety, depression, suicide, night
terrors
Contraindications to antihistamines are considered in what patient group? - CORRECT
ANSWERS-Elderly, patients with BPH. & High doses can cause hallucinations
What is the MOA of inhaled corticosteroids when treating asthma? - CORRECT
ANSWERS-Produces anti-inflammatory effects and should be used as preventative
therapy only. block formation of six different inflammatory mediators
, When using oral inhaled corticosteroids for asthma or COPD, what is a potential
adverse effect that patients should be aware of? - CORRECT ANSWERS-Oral
candidiasis, thrush, does not help with acute attacks (rinse with water after use).
What are antihistamines used for? - CORRECT ANSWERS-Allergic rhinitis, pruritis,
urticaria, insomnia, N/V, cold symptoms
Adverse effects that can be seen with antihistamines - CORRECT ANSWERS-
anticholinergic effects associated with 1st generations
"can't see, can't pee, can't spit, can't sh*t"
Sedation, dry mouth, urinary retention
What are decongestants used for; most common ones? - CORRECT ANSWERS-Nasal
congestion and improve eustachian tube function; pseudoephedrine
What are Expectorants used for; most common ones? - CORRECT ANSWERS-
Management of cough associated with bronchitis, colds, sinusitis, etc; Guaifenesin
What are antitussives for & MOA? - CORRECT ANSWERS-Suppress dry hacking
coughs; act in the cough center in the medulla to suppress cough; benzonatate
anesthetizes the stretch receptors in the lungs
Which antihistamines are most likely to exhibit anticholinergic effects? - CORRECT
ANSWERS-1st generation; diphenhydramine
What is the MOA of H2 receptor antagonists? - CORRECT ANSWERS-Blocks the
action of histamine H2 receptors in the stomach
What can be an issue with long term stimulant laxative use? - CORRECT ANSWERS-
dependence
What is the MOA of docusate? - CORRECT ANSWERS-Works by allowing more water
and lipids to be absorbed by the feces reducing surface tension
What receptor system is affected or interacted with when prescribing Ondansetron
(Zofran) - CORRECT ANSWERS-serotonergic
What is the MOA of PPI - CORRECT ANSWERS-They irreversibly block the final stage
of stomach acid production, namely, the gastric proton pump (ATPA) of the gastric
parietal cells
What patient should avoid using bismuth salicylate? - CORRECT ANSWERS-Children
with chicken pox or flu like symptoms. Can cause Reye's symptoms due to ASA
properties
