APEA- Pharm Respiratory Exam Questions with Correct Answers
Question 1:
Prior to initiating therapy
Answer:
New diagnosis of diabetes
Question 2:
Prior to a routine pulmonary function test
Answer:
Prior to a routine pulmonary function test
Question 3:
In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be
coadministered with: acetaminophen.
atorvastatin. furosemide. propanolol.
Answer:
atorvastatin.
coadministration of a HMG-CoA reductase inhibitor & certain macrolide antibiotics, like
clindamycin, can
Question 4:
Robitussin DM is a combination of dextromethorphan and: benzonatate.
benzocaine.
Answer:
lead to debilitating myelopathy and rhabdo guaifenesin.
Question 5:
phenylephrine.
Answer:
guaifenesin.
+ dexamethasone
,Question 6:
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.
Answer:
relaxing the smooth muscles of the bronchi.
Question 7:
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.
preferred daily treatment is a:
long-acting bronchodilator.
long-acting bronchodilator and an inhaled corticosteroid.
Answer:
frequent drug-drug interactions.
For asthma symptoms occurring daily with nighttime symptoms greater than one time per
week, the long-acting bronchodilator and a leukotriene receptor antagonist.
Question 8:
high-dose inhaled corticosteroid and theophylline.
Answer:
long-acting bronchodilator and an inhaled
Question 9:
For complaints of dysphonia related to the use of mometasone (Asmanex), the patient should
be advised to:
stop the inhaler immediately. decrease the dosage.
Answer:
corticosteroid.
apply an oropharyngeal analgesic prior to use.
Question 10:
utilize a spacer for administration.
Answer:
Utilize a spacer for administration.
, Question 11:
Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: Haemophilus
influenzae.
Mycoplasma pneumoniae. Staphylococcus aureus.
Streptococcus pneumoniae.
Answer:
Mycoplasma pneumoniae.
Question 12:
Patient instructions for the use of inhaled steroids would NOT include to: hold breath for 5-10
seconds after deeply inhaling the medication.
store the inhaler at room temperature.
Answer:
moderate persistent asthma in 5-11-year-olds, when combined with low-dose inhaled steroid.
float the canister in water to determine whether it is empty.
Question 13:
rinse mouth with water, gargle and spit after inhalation.
Answer:
float the canister in water to determine
Question 14:
Tiotropium (Spiriva HandiHaler), used in the treatment of chronic bronchitis,: does not cause
paradoxical bronchospasm.
Answer:
whether it is empty.
is contraindicated in patients with hypersensitivity to ipratropium (Atrovent HFA). should not
be combined with an inhaled steroid due to adverse reactions.
Question 15:
requires dosage adjustment in geriatrics and hepatically impaired patients.
Answer:
is contraindicated in
Question 1:
Prior to initiating therapy
Answer:
New diagnosis of diabetes
Question 2:
Prior to a routine pulmonary function test
Answer:
Prior to a routine pulmonary function test
Question 3:
In the treatment of pneumonia, a macrolide such as clarithromycin should NOT be
coadministered with: acetaminophen.
atorvastatin. furosemide. propanolol.
Answer:
atorvastatin.
coadministration of a HMG-CoA reductase inhibitor & certain macrolide antibiotics, like
clindamycin, can
Question 4:
Robitussin DM is a combination of dextromethorphan and: benzonatate.
benzocaine.
Answer:
lead to debilitating myelopathy and rhabdo guaifenesin.
Question 5:
phenylephrine.
Answer:
guaifenesin.
+ dexamethasone
,Question 6:
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.
Answer:
relaxing the smooth muscles of the bronchi.
Question 7:
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.
preferred daily treatment is a:
long-acting bronchodilator.
long-acting bronchodilator and an inhaled corticosteroid.
Answer:
frequent drug-drug interactions.
For asthma symptoms occurring daily with nighttime symptoms greater than one time per
week, the long-acting bronchodilator and a leukotriene receptor antagonist.
Question 8:
high-dose inhaled corticosteroid and theophylline.
Answer:
long-acting bronchodilator and an inhaled
Question 9:
For complaints of dysphonia related to the use of mometasone (Asmanex), the patient should
be advised to:
stop the inhaler immediately. decrease the dosage.
Answer:
corticosteroid.
apply an oropharyngeal analgesic prior to use.
Question 10:
utilize a spacer for administration.
Answer:
Utilize a spacer for administration.
, Question 11:
Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by: Haemophilus
influenzae.
Mycoplasma pneumoniae. Staphylococcus aureus.
Streptococcus pneumoniae.
Answer:
Mycoplasma pneumoniae.
Question 12:
Patient instructions for the use of inhaled steroids would NOT include to: hold breath for 5-10
seconds after deeply inhaling the medication.
store the inhaler at room temperature.
Answer:
moderate persistent asthma in 5-11-year-olds, when combined with low-dose inhaled steroid.
float the canister in water to determine whether it is empty.
Question 13:
rinse mouth with water, gargle and spit after inhalation.
Answer:
float the canister in water to determine
Question 14:
Tiotropium (Spiriva HandiHaler), used in the treatment of chronic bronchitis,: does not cause
paradoxical bronchospasm.
Answer:
whether it is empty.
is contraindicated in patients with hypersensitivity to ipratropium (Atrovent HFA). should not
be combined with an inhaled steroid due to adverse reactions.
Question 15:
requires dosage adjustment in geriatrics and hepatically impaired patients.
Answer:
is contraindicated in
