Advanced Pharmacology- Exam
#2 QUESTIONS WITH DETAILED
VERIFIED ANSWERS
Digoxin levels need to be monitored closely when the following
medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - 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 - 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 - 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 - 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 - 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. - 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 - 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 - 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
#2 QUESTIONS WITH DETAILED
VERIFIED ANSWERS
Digoxin levels need to be monitored closely when the following
medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - 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 - 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 - 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 - 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 - 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. - 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 - 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 - 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
