GKA APEA- Pharm Respiratory Questions
and Answers
Which of the following scenarios would NOT warrant monitoring
of a serum theophylline level?
Exacerbation of chronic bronchitis
New diagnosis of diabetes
Prior to initiating therapy
Prior to a routine pulmonary function test
Ans: Prior to a routine pulmonary function test
In the treatment of pneumonia, a macrolide such as
clarithromycin should NOT be coadministered with:
acetaminophen.
atorvastatin.
furosemide.
propanolol.
Ans: atorvastatin.
coadministration of a HMG-CoA reductase inhibitor & certain macrolide
antibiotics, like clindamycin, can lead to debilitating myelopathy and
rhabdo
Robitussin DM is a combination of dextromethorphan and:
benzonatate.
benzocaine.
guaifenesin.
phenylephrine.
Ans: guaifenesin.
+ dexamethasone
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Xanthines such as theophylline, used in the treatment of COPD,
cause bronchodilation by:
blocking the action of acetylcholine.
decreasing the activity of inflammatory mediators.
relaxing the smooth muscles of the bronchi.
stimulating beta 2 receptors.
Ans: relaxing the smooth muscles of the bronchi.
When considering the use of theophylline to treat chronic
bronchitis, its use is limited due to:
low-risk profile.
minimal effects on lung function.
wide therapeutic window.
frequent drug-drug interactions.
Ans: frequent drug-drug interactions.
For asthma symptoms occurring daily with nighttime symptoms
greater than one time per week, the preferred daily treatment is a:
long-acting bronchodilator.
long-acting bronchodilator and an inhaled corticosteroid.
long-acting bronchodilator and a leukotriene receptor antagonist.
high-dose inhaled corticosteroid and theophylline.
Ans: long-acting bronchodilator and an inhaled corticosteroid.
For complaints of dysphonia related to the use of mometasone
(Asmanex), the patient should be advised to:
stop the inhaler immediately.
decrease the dosage.
apply an oropharyngeal analgesic prior to use.
utilize a spacer for administration.
Ans: Utilize a spacer for administration.
Doxycycline (Vibramycin) is the preferred treatment of pneumonia
caused by:
Haemophilus influenzae.
Mycoplasma pneumoniae.
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