NR565: WEEK 6: RESPIRATORY: TEST QUESTIONS WITH
COMPLETE SOLUTIONS
1) tx goals of management of COPD -- Answer ✔✔ -reduce symptoms, improve
health status, increase exercise tolerance
- reduce risks and mortality
2) GOLD report to classify COPD severity -- Answer ✔✔ classify from A to D:
- Group A
• few symptoms; low risk
• mild/mod airflow, limitation+low symptom scores +1 or fewer
exacerbations per year
- Group B
• increased symptoms; low risk
• mild/mod airflow, limitation+low symptoms scores +1 or fewer
exacerbations per year
- Group C
• few symptoms; high risk
• severe/very severe, airflow limitation+high symptoms scores +2 or
more exacerbations per year
- Group D
• increased symptoms; high risk
, • severe/very severe, airflow limitation+high symptom scores +2 or
more exacerbations per year
3) COPD pharmacologic management: Group A -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• Consider LAMA or LABA
4) COPD pharmacologic management: Group B -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA or LABA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA
5) COPD pharmacologic management: Group C -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA (preferred) or LABA/IGC
6) COPD pharmacologic management: Group D -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA or
• LAMA/LABA or
• IGC/LABA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA/IGC
• if exacerbations continue, consider adding Roflumilast Azithromycin
, 7) Management of stable COPD -- Answer ✔✔ -Bronchodilators
- Glucocorticoids
- Phosphodiesterase-4 Inhibitors (PD4)
• Roflumilast
8) for patients with chronic severe COPD, the risk of exacerbations can be reduced
with the addition of ___________. -- Answer ✔✔ roflumilast
- PDE4 inhibitor
• tx is associated with an increase in psychiatric adverse reactions that
include SI
9) Antihistamines -- Answer ✔✔ -drugs that compete for specific receptor sites
with histamine
- also be referred to as histamine antagonists
- H1 antihistamines are used to treat common allergies:
• allergic rhinitis, hay fever, associated symptoms of hives, itching,
running nose, & sneezing
10) Antihistamines Therapeutic Action -- Answer ✔✔ -Antihistamines are used to
treat allergic rhinitis (hay fever, mold, dust allergies), anaphylaxis, angioedema,
drug fevers, insect bite reactions, pruritus, and urticaria
- Commonly prescribed antihistamines:
• diphenhydramine
• fexofenadine
• loratadine
- antihistamine medications compete with histamine for the receptor site. The
antihistamine binds to the cell instead and stops the inflammatory process.
11) antihistamines cannot combat:
__________________________________________ -- Answer ✔✔
histamine that is already present on the receptor
12) Antihistamines: Indications for use -- Answer ✔✔ primarily used for:
- nasal allergies
- symptoms of the common cold
- allergic reaction tx
13) Antihistamine contraindications -- Answer ✔✔ -Do not Use
• Known allergy to the drug
COMPLETE SOLUTIONS
1) tx goals of management of COPD -- Answer ✔✔ -reduce symptoms, improve
health status, increase exercise tolerance
- reduce risks and mortality
2) GOLD report to classify COPD severity -- Answer ✔✔ classify from A to D:
- Group A
• few symptoms; low risk
• mild/mod airflow, limitation+low symptom scores +1 or fewer
exacerbations per year
- Group B
• increased symptoms; low risk
• mild/mod airflow, limitation+low symptoms scores +1 or fewer
exacerbations per year
- Group C
• few symptoms; high risk
• severe/very severe, airflow limitation+high symptoms scores +2 or
more exacerbations per year
- Group D
• increased symptoms; high risk
, • severe/very severe, airflow limitation+high symptom scores +2 or
more exacerbations per year
3) COPD pharmacologic management: Group A -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• Consider LAMA or LABA
4) COPD pharmacologic management: Group B -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA or LABA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA
5) COPD pharmacologic management: Group C -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA (preferred) or LABA/IGC
6) COPD pharmacologic management: Group D -- Answer ✔✔ -Symptom Control
• SABA
- First-Choice Recommendation
• LAMA or
• LAMA/LABA or
• IGC/LABA
- Management of Persistent Symptoms or Further Exacerbations
• Combination LAMA/LABA/IGC
• if exacerbations continue, consider adding Roflumilast Azithromycin
, 7) Management of stable COPD -- Answer ✔✔ -Bronchodilators
- Glucocorticoids
- Phosphodiesterase-4 Inhibitors (PD4)
• Roflumilast
8) for patients with chronic severe COPD, the risk of exacerbations can be reduced
with the addition of ___________. -- Answer ✔✔ roflumilast
- PDE4 inhibitor
• tx is associated with an increase in psychiatric adverse reactions that
include SI
9) Antihistamines -- Answer ✔✔ -drugs that compete for specific receptor sites
with histamine
- also be referred to as histamine antagonists
- H1 antihistamines are used to treat common allergies:
• allergic rhinitis, hay fever, associated symptoms of hives, itching,
running nose, & sneezing
10) Antihistamines Therapeutic Action -- Answer ✔✔ -Antihistamines are used to
treat allergic rhinitis (hay fever, mold, dust allergies), anaphylaxis, angioedema,
drug fevers, insect bite reactions, pruritus, and urticaria
- Commonly prescribed antihistamines:
• diphenhydramine
• fexofenadine
• loratadine
- antihistamine medications compete with histamine for the receptor site. The
antihistamine binds to the cell instead and stops the inflammatory process.
11) antihistamines cannot combat:
__________________________________________ -- Answer ✔✔
histamine that is already present on the receptor
12) Antihistamines: Indications for use -- Answer ✔✔ primarily used for:
- nasal allergies
- symptoms of the common cold
- allergic reaction tx
13) Antihistamine contraindications -- Answer ✔✔ -Do not Use
• Known allergy to the drug
