MU NURS 615- Advanced Pharm -
Exam 4 Review 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
What is tiotropium? - ANSWER (Spiriva) Tiotropium bromide (INN) is a long-
standing, 24 hour, anticholinergic bronchodilator used in the management of
chronic obstructive pulmonary disease, (COPD).
What is tiotropium used for maintenance treatment of? - ANSWER COPD,
which includes chronic bronchitis and emphysema.
Tiotropium - ANSWER is not used in the treatment for acute exacerbations of
COPD and bronchitis
Tiotropium - ANSWER is a muscarinic receptor antagonist, often referred to as
an antimuscarinic or anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - ANSWER Side
effects of Singular can include skin rash, mood changes, tremors, h/a, stomach
pain, heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever,
stuffy nose, sore throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
What patient teaching should accompany the prescription of montelukast
(Singulair)? - ANSWER It will not work fast enough to treat an asthma attack
that has already begun. Use only a fast-acting inhalation medicine to treat an
asthma attack.
Singulair should not be used for exercised- induced - ANSWER
bronchoconstriction
Singulair can lead to what mood changes? - ANSWER anxiety, depression, or
thoughts of suicide or of hurting yourself
, MU NURS 615- Advanced Pharm -
Exam 4 Review 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
What patient teaching should be provided when prescribing inhaled
corticosteroids? - ANSWER They should be taken 2x a day every day for the
use of prevention of asthma. Rinse mouth after use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta agonists? -
ANSWER African Americans, increased incidence of death in this population
What medication would you prescribe for bronchospasm for a patient taking
propranolol? - ANSWER Ipratropium
What is the mechanism of action of albuterol? - ANSWER Relaxes bronchial
smooth muscle by action on beta 2 receptors with little effect on heart rate, causing
dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - ANSWER
Extremely potent vasoconstrictive and anti-inflammatory activity.
When is it appropriate to use a short acting beta agonist? - ANSWER Short
acting beta 2 agonist (SABAs) are the drug of choice for acute treatment of asthma
symptoms and exacerbations.
What is the mechanism of action of inhaled muscarinic receptor antagonist? -
ANSWER Atropine (the prototype of muscarinic receptor antagonists) prevents
the effects of ACh by competitively blocking its binding to muscarinic receptors in
the CNS, peripheral ganglia, and at neuroeffector sites on smooth muscle, cardiac
muscle, and secretory glands.
Exam 4 Review 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
What is tiotropium? - ANSWER (Spiriva) Tiotropium bromide (INN) is a long-
standing, 24 hour, anticholinergic bronchodilator used in the management of
chronic obstructive pulmonary disease, (COPD).
What is tiotropium used for maintenance treatment of? - ANSWER COPD,
which includes chronic bronchitis and emphysema.
Tiotropium - ANSWER is not used in the treatment for acute exacerbations of
COPD and bronchitis
Tiotropium - ANSWER is a muscarinic receptor antagonist, often referred to as
an antimuscarinic or anticholingeric agent.
What are the adverse effects of montelukast (Singulair)? - ANSWER Side
effects of Singular can include skin rash, mood changes, tremors, h/a, stomach
pain, heartburn, upset stomach, nausea, diarrhea, tooth pain, tiredness, fever,
stuffy nose, sore throat, cough, and hoarseness. Singular may interact with
phenobarbital or rifampin.
What patient teaching should accompany the prescription of montelukast
(Singulair)? - ANSWER It will not work fast enough to treat an asthma attack
that has already begun. Use only a fast-acting inhalation medicine to treat an
asthma attack.
Singulair should not be used for exercised- induced - ANSWER
bronchoconstriction
Singulair can lead to what mood changes? - ANSWER anxiety, depression, or
thoughts of suicide or of hurting yourself
, MU NURS 615- Advanced Pharm -
Exam 4 Review 2023 LATEST
QUESTIONS WITH COMPLETE
SOLUTIONS RATED (A+)
What patient teaching should be provided when prescribing inhaled
corticosteroids? - ANSWER They should be taken 2x a day every day for the
use of prevention of asthma. Rinse mouth after use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta agonists? -
ANSWER African Americans, increased incidence of death in this population
What medication would you prescribe for bronchospasm for a patient taking
propranolol? - ANSWER Ipratropium
What is the mechanism of action of albuterol? - ANSWER Relaxes bronchial
smooth muscle by action on beta 2 receptors with little effect on heart rate, causing
dilation of airways.
What is the mechanism of action of inhaled corticosteroids? - ANSWER
Extremely potent vasoconstrictive and anti-inflammatory activity.
When is it appropriate to use a short acting beta agonist? - ANSWER Short
acting beta 2 agonist (SABAs) are the drug of choice for acute treatment of asthma
symptoms and exacerbations.
What is the mechanism of action of inhaled muscarinic receptor antagonist? -
ANSWER Atropine (the prototype of muscarinic receptor antagonists) prevents
the effects of ACh by competitively blocking its binding to muscarinic receptors in
the CNS, peripheral ganglia, and at neuroeffector sites on smooth muscle, cardiac
muscle, and secretory glands.
