EDPNA CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ what is discard date on Respimat products after assembly?.
Answer: 3 months
◍ What are name identifies for MDI?.
Answer: -HFA-Respimat (ex: Spiriva)-No suffix
◍ Rotigotine.
Answer: Neupro patch: do not heat/ use during MRI
◍ How many inhalations per albuterol inhaler?.
Answer: Ventolin: 60 puffs/canisterEverything else: 200 inhalation/canister
◍ HLA b1502.
Answer: Test in Asians. Rash for carbamazepine (tegretol), phenytoin
(Dilantin), fos phenytoin (cerebyx)
◍ Trastuzumab.
Answer: Herceptin, her/Neu- ado-trastuzunab (kadcyla), lapatinib (tykerb)
pertuzumab (perjeta)
◍ Hla- b 5701.
Answer: Don't give abacavir (ziagen), epzicom, trizivir
◍ Not cross reactive a/ opioid allergy.
Answer: Fentanyl, meperidine (Demerol), methadone (dolophine), tramadol
(ultram), tapentadol (nucynta)
◍ Inducers.
Answer: Ps porcs (phenytoin, smoking, phenobarbital, oxcarbazepine,
rifampin, carbamazepine, St. John's wort)
,◍ Inhibitors.
Answer: Gpacman (grapefruit, pi's, azoles, cimetidine/cyclosporine,
macrolides- erytho/clarithro, amiodarone, non dihydro (dilt, verapamil)
◍ What is one DPI product that needs priming?.
Answer: FLEXHALER (prime only before first use)
◍ If on amiodarone, decrease these drugs by 30-50%.
Answer: Digoxin, warfarin, quinidine, procainanide, statins
◍ Statins with high risk of inhibition.
Answer: Las (lova, atorva, simva)
◍ What two ICS/LABA products should never be washed w/ water?.
Answer: SymbicortDulera
◍ All MDI products need to be shaken prior to use except (4):.
Answer: Do not shake:-Respimats (ex: Spiriva)-QVAR-Alvesco-Atrovent
HFA
◍ How do you prime Pulmicort FLEXHALER (the only DPI that needs
priming)?.
Answer: Twisting motion x 2Should hear 2 clicksReady to goOnly prime
before first use, do not re-prime
◍ Entecavir.
Answer: Baraclude. Empty stomach for hep B that fail lamivudime and
adefovir- se: peripheral edema, nephrotoxic
◍ Ribavirin.
Answer: Copegus. W/ food bid for hep c, hepatotoxic, hemolytic anemia,
preg x, psych disorders, ci: renal disfxn
◍ How to prime Respimat products (Ex: spiriva respimat)?.
Answer: Keep pressing until spray is visible x 3, then okay to use
◍ How to prime Ventolin and ProAir HFA?.
Answer: Spray x 4 timesRe-Prime: > 14 days
, ◍ How to prime Flovent HFA and Dulera?.
Answer: Spray x 4 timesRe-Prime: > 7 days
◍ Glipizide.
Answer: Glucotrol 30 min before break & dinner
◍ Glimeprimide.
Answer: Amaryl 1-2 mg qd w/ 1st meal
◍ How to prime Symbicort?.
Answer: Spray x 2 timesRe-Prime > 7 days
◍ Glyburide.
Answer: Diabeta, + metformin = glucovance, do not use w/ renal failure
2.5-5mg qd
◍ DPI with a "Click"(1) Which (1) product requires you to breathe in until you
hear a click(2) Which (2) products will CLICK to indicate that dose is ready
[and will be wasted if not used].
Answer: (1) PressAir(2) RespiClick; Ellipta
◍ Rosiglitazone.
Answer: Avandia 4-8mg qd (tzd, exacerbate hf, liver damage, increases hdl,
decreases tg/total cholesterol) similar: pioglitazone (actos)
◍ When should patients quit smoking?- Nicotine replacement products- Zyban
and Chantix.
Answer: - Nicotine replacement products: same day- Zyban and Chantix:
start meds 1-2 weeks before quit date
◍ NRT is recommended for all adult smokers except _____.
Answer: Pregnant patients (Refer to PCP)
◍ Repaglinide.
Answer: Prandin 0.5-2mg TID 15-30 min before a meal, hypoglycemia- do
not take with su's
◍ How long duration:-Nicotine gum/lozenge-Nicotine patch.
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ what is discard date on Respimat products after assembly?.
Answer: 3 months
◍ What are name identifies for MDI?.
Answer: -HFA-Respimat (ex: Spiriva)-No suffix
◍ Rotigotine.
Answer: Neupro patch: do not heat/ use during MRI
◍ How many inhalations per albuterol inhaler?.
Answer: Ventolin: 60 puffs/canisterEverything else: 200 inhalation/canister
◍ HLA b1502.
Answer: Test in Asians. Rash for carbamazepine (tegretol), phenytoin
(Dilantin), fos phenytoin (cerebyx)
◍ Trastuzumab.
Answer: Herceptin, her/Neu- ado-trastuzunab (kadcyla), lapatinib (tykerb)
pertuzumab (perjeta)
◍ Hla- b 5701.
Answer: Don't give abacavir (ziagen), epzicom, trizivir
◍ Not cross reactive a/ opioid allergy.
Answer: Fentanyl, meperidine (Demerol), methadone (dolophine), tramadol
(ultram), tapentadol (nucynta)
◍ Inducers.
Answer: Ps porcs (phenytoin, smoking, phenobarbital, oxcarbazepine,
rifampin, carbamazepine, St. John's wort)
,◍ Inhibitors.
Answer: Gpacman (grapefruit, pi's, azoles, cimetidine/cyclosporine,
macrolides- erytho/clarithro, amiodarone, non dihydro (dilt, verapamil)
◍ What is one DPI product that needs priming?.
Answer: FLEXHALER (prime only before first use)
◍ If on amiodarone, decrease these drugs by 30-50%.
Answer: Digoxin, warfarin, quinidine, procainanide, statins
◍ Statins with high risk of inhibition.
Answer: Las (lova, atorva, simva)
◍ What two ICS/LABA products should never be washed w/ water?.
Answer: SymbicortDulera
◍ All MDI products need to be shaken prior to use except (4):.
Answer: Do not shake:-Respimats (ex: Spiriva)-QVAR-Alvesco-Atrovent
HFA
◍ How do you prime Pulmicort FLEXHALER (the only DPI that needs
priming)?.
Answer: Twisting motion x 2Should hear 2 clicksReady to goOnly prime
before first use, do not re-prime
◍ Entecavir.
Answer: Baraclude. Empty stomach for hep B that fail lamivudime and
adefovir- se: peripheral edema, nephrotoxic
◍ Ribavirin.
Answer: Copegus. W/ food bid for hep c, hepatotoxic, hemolytic anemia,
preg x, psych disorders, ci: renal disfxn
◍ How to prime Respimat products (Ex: spiriva respimat)?.
Answer: Keep pressing until spray is visible x 3, then okay to use
◍ How to prime Ventolin and ProAir HFA?.
Answer: Spray x 4 timesRe-Prime: > 14 days
, ◍ How to prime Flovent HFA and Dulera?.
Answer: Spray x 4 timesRe-Prime: > 7 days
◍ Glipizide.
Answer: Glucotrol 30 min before break & dinner
◍ Glimeprimide.
Answer: Amaryl 1-2 mg qd w/ 1st meal
◍ How to prime Symbicort?.
Answer: Spray x 2 timesRe-Prime > 7 days
◍ Glyburide.
Answer: Diabeta, + metformin = glucovance, do not use w/ renal failure
2.5-5mg qd
◍ DPI with a "Click"(1) Which (1) product requires you to breathe in until you
hear a click(2) Which (2) products will CLICK to indicate that dose is ready
[and will be wasted if not used].
Answer: (1) PressAir(2) RespiClick; Ellipta
◍ Rosiglitazone.
Answer: Avandia 4-8mg qd (tzd, exacerbate hf, liver damage, increases hdl,
decreases tg/total cholesterol) similar: pioglitazone (actos)
◍ When should patients quit smoking?- Nicotine replacement products- Zyban
and Chantix.
Answer: - Nicotine replacement products: same day- Zyban and Chantix:
start meds 1-2 weeks before quit date
◍ NRT is recommended for all adult smokers except _____.
Answer: Pregnant patients (Refer to PCP)
◍ Repaglinide.
Answer: Prandin 0.5-2mg TID 15-30 min before a meal, hypoglycemia- do
not take with su's
◍ How long duration:-Nicotine gum/lozenge-Nicotine patch.
