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Which of the following is a combination long-acting beta2-agonist and an inhaled
steroid?
Ipratropium bromide/albuterol
Olodaterol/tiotropium
Salbutamol/ipratropium
Salmeterol/fluticasone - ANSWER ✓ Salmeterol/fluticasone
Inhaled antimuscarinic agents, such as ipratropium bromide (Atrovent HFA),:
only come in a short-acting form.
reduce exacerbation rates better than beta2-agonists.
increase cyclic AMP to create antagonism to bronchoconstriction.
are rarely utilized due to significant side effect profile. - ANSWER ✓ reduce
exacerbation rates better than beta2-agonists.
Treatment of Bordetella pertussis in a patient with a hypersensitivity to macrolides
is:
doxycycline.
clindamycin (Cleocin).
metronidazole (Flagyl).
sulfamethoxazole/trimethoprim (Bactrim). - ANSWER ✓
sulfamethoxazole/trimethoprim (Bactrim).
Glucocorticoids are indicated for the treatment of:
acute bronchitis.
asthma exacerbations.
lupus.
, dry cough. - ANSWER ✓ asthma exacerbations.
The main side effect related to the use of long-acting antimuscarinic antagonists
is:
dry mouth.
headache.
tachycardia.
watering eyes. - ANSWER ✓ dry mouth.
The most common symptom of theophylline toxicity is:
headache.
hypoglycemia.
lethargy.
vomiting. - ANSWER ✓ vomiting.
The mechanism of action of short-acting antimuscarinic antagonists (SAMA) such
as ipratropium is to:
block the action of acetylcholine.
decrease the activity of inflammatory mediators.
relax the smooth muscles of the bronchi.
stimulate beta 2 receptors. - ANSWER ✓ block the action of acetylcholine.
Dextromethorphan, a cough suppressant, is safe to administer to patients who
have:
difficulty clearing secretions.
Parkinson's disease.
hypertension.
depression and are taking venlafaxine (Effexor). - ANSWER ✓ hypertension.
DM contraindicated in Parkinson's patients and with patients unable to clear
secretions. Use caution when administration with SSRIs or SNRIs
Which medication is NOT appropriate treatment for exercise-induced asthma?
Short-acting bronchodilator monotherapy
Inhaled corticosteroids
Leukotriene receptor antagonists
Long-acting bronchodilator monotherapy - ANSWER ✓ Long-acting
bronchodilator monotherapy