Nurs 615 Pharm Exam 4
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
SAMA - meds, MOA, duration and onset
Correct Answer: atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which
normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
Question 2.
umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution
Correct Answer: CV disease, uncontrolled HTN, narrow angle glaucoma
Question 3.
ICS medications
Correct Answer: mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
Question 4.
LAMAs for COPD - meds, MOA, dose
Correct Answer: aclidinium bromide (Tudorza), umeclidinium (Ellipta)
inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
Question 5.
ICS - use and SE
Correct Answer: asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
• LABA - MOA, onset and duration, SE, dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
, Question 6.
LAMA - Spiriva generic, use, dose, age of use
Correct Answer: tiotropium bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
Question 7.
LABA - meds and use
Correct Answer: salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps
kids with nighttime coughing and wheezing.
Question 8.
LABA meds for COPD use only
Correct Answer: olodaterol and indacaterol (a dry powder inhaler)
Question 9.
LAMA/LABA for COPD
Correct Answer: umeclidinium/vilanterol and tiotropium bromide/olodaterol
Question 10.
Steps for asthma
Correct Answer:
Question 11.
Related to SABA meds, what indicates poor control of the disease?
Correct Answer: use of SABA more than 2 times a week
• SABA - MOA, onset and duration, SE, Dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
Question 12.
What patient should not use a LABA?
Correct Answer: black
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
SAMA - meds, MOA, duration and onset
Correct Answer: atropine, ipratropium (Atrovent)
inhibits cholinergic receptors, blocks Ach, net effect reduces cGMP which
normally constrict bronchial smooth muscle
4-6 hours and slower onset than SABAs
Question 2.
umeclidinium/vilanterol (Anoro Ellipta) - LAMA/LABA combo
precaution
Correct Answer: CV disease, uncontrolled HTN, narrow angle glaucoma
Question 3.
ICS medications
Correct Answer: mometasone (Asmanex) - most potent and expensive
beclomethasone (QVAR) - weakest, takes more puffs to = mometasone
fluticasone (Flovent) - medium
budesonide (Pulmicort)
ciclesonide (Alvesco)
Question 4.
LAMAs for COPD - meds, MOA, dose
Correct Answer: aclidinium bromide (Tudorza), umeclidinium (Ellipta)
inhibits M3 receptors as smooth muscle bronchodilates
1 puff BID, inhaled powder
Question 5.
ICS - use and SE
Correct Answer: asthma maintenance or possibly COPD
thrush - oral candidiasis - rinse and spit after use, administer with spacer
• LABA - MOA, onset and duration, SE, dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscle
onset 2-5 hours, duration 12hrs.
BBW: not for monotherapy use d/t risk of death, use in conjunction with ICS.
1 puff q12hr.
, Question 6.
LAMA - Spiriva generic, use, dose, age of use
Correct Answer: tiotropium bromide.
maintenance therapy for COPD, emerging in asthma
2 puffs qd for COPD, 1 puff qd for asthma
age 6 and up
Question 7.
LABA - meds and use
Correct Answer: salmeterol (Serevent) and formoterol (Foradil).
prevents an exacerbation of asthma/COPD/exercise induced asthma, and helps
kids with nighttime coughing and wheezing.
Question 8.
LABA meds for COPD use only
Correct Answer: olodaterol and indacaterol (a dry powder inhaler)
Question 9.
LAMA/LABA for COPD
Correct Answer: umeclidinium/vilanterol and tiotropium bromide/olodaterol
Question 10.
Steps for asthma
Correct Answer:
Question 11.
Related to SABA meds, what indicates poor control of the disease?
Correct Answer: use of SABA more than 2 times a week
• SABA - MOA, onset and duration, SE, Dose -✓✓stimulates beta 2 receptors on
bronchial smooth muscles.
onset in 5 min, duration 3-4 hours
tremors and tachycardia
2 puffs q4hrs PRN
Question 12.
What patient should not use a LABA?
Correct Answer: black
