Objective final exam
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Which of the following scenarios would NOT warrant monitoring of a serum
theophylline level?
Exacerbation of chronic bronchitis
New diagnosis of diabetes
Prior to initiating therapy
Prior to a routine pulmonary function test - ANSWER ✅Prior to a routine
pulmonary function test
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 lead to debilitating myelopathy and rhabdo
Robitussin DM is a combination of dextromethorphan and:
benzonatate.
benzocaine.
guaifenesin.
phenylephrine. - ANSWER ✅guaifenesin.
+ dexamethasone
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.
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. - ANSWER ✅frequent drug-drug interactions.
For asthma symptoms occurring daily with nighttime symptoms greater than one
time per week, the preferred daily treatment is a:
long-acting bronchodilator.
long-acting bronchodilator and an inhaled corticosteroid.
long-acting bronchodilator and a leukotriene receptor antagonist.
high-dose inhaled corticosteroid and theophylline. - ANSWER ✅long-acting
bronchodilator and an inhaled corticosteroid.
For complaints of dysphonia related to the use of mometasone (Asmanex), the
patient should be advised to:
stop the inhaler immediately.
decrease the dosage.
apply an oropharyngeal analgesic prior to use.
utilize a spacer for administration. - ANSWER ✅Utilize a spacer for
administration.
Doxycycline (Vibramycin) is the preferred treatment of pneumonia caused by:
Haemophilus influenzae.
Mycoplasma pneumoniae.
Staphylococcus aureus.
Streptococcus pneumoniae. - ANSWER ✅Mycoplasma pneumoniae.
Long-acting bronchodilators, such as salmeterol (Serevent Diskus), are indicated
in the treatment of:
intermittent asthma in patients 12 years and older.
exercise-induced asthma when the short-acting bronchodilator is ineffective.
mild persistent asthma in ages 5-11 years.
moderate persistent asthma in 5-11-year-olds, when combined with low-dose
inhaled steroid. - ANSWER ✅moderate persistent asthma in 5-11-year-olds,
when combined with low-dose inhaled steroid.