Page 1 of 228
DOWNLOAD CUSP - T&D ACTUAL EXAM &
STUDY GUIDE COMPLETE QUESTIONS
BANK AND CORRECT DETAILED ANSWERS
WITH RATIONALES || LATEST VERSION |
What are anticholinergic side effects? - ..ANSWER...✓✓ Blurred
vision ** can't see
Urinary retention ** can't pee
Dry mouth ** can't spit
Constipation ** can't $hit
Anticholinergics negatively effect what patient population? -
..ANSWER...✓✓ The elderly
,Page 2 of 228
What drugs are the cornerstone of asthma treatment? -
..ANSWER...✓✓ ICS
What are some examples of ICS? - ..ANSWER...✓✓ Drugs that
end in "-sone" or "-ide"
Ex: Fluticasone and budesonide
What is important patient education that should be provided
when prescribing ICS? - ..ANSWER...✓✓ Never abruptly stop
this medication, it needs to be tapered due to possible adrenal
suppression when used long term
Swish and spit after each use- this decreases the risk of thrust
,Page 3 of 228
What is the latest asthma step up treatment plan? -
..ANSWER...✓✓ Step 1: ICS-LABA PRN
Step 2: ICS daily
Step 3: ICS-LABA daily OR adding a leukotriene receptor
antagonist to their daily ICS
Severe: Medium dose ICS-LABA daily
If patient has progressed into having severe persistent asthma,
should refer to pulmonologist for assistance with management
If a patient has progressed into having severe persistent asthma,
should we be managing their care? - ..ANSWER...✓✓
Recommendation of treatment is medium dose ICS-LABA daily,
but it is in the best interest of our patient to be referred to
pulmonology for step 4 and higher to assist with management.
, Page 4 of 228
What is an example of Leukotriene receptor antagonist (LTRA)? -
..ANSWER...✓✓ Singular
What side effects are common with LTRA? - ..ANSWER...✓✓
Psychiatric side effects: insomnia, aggression, hallucinations, SI
What drug should NEVER be prescribed alone for treatment of
asthma due to risk of asthma related death? - ..ANSWER...✓✓
LABAs
If your patient has comorbidities or has had antibiotics in the last
90 days, how should pneumonia be treated? - ..ANSWER...✓✓
Fluoroquinolones (Levaquin is a respiratory Fluoroquinolone) OR
Augmentin and Macrolide
DOWNLOAD CUSP - T&D ACTUAL EXAM &
STUDY GUIDE COMPLETE QUESTIONS
BANK AND CORRECT DETAILED ANSWERS
WITH RATIONALES || LATEST VERSION |
What are anticholinergic side effects? - ..ANSWER...✓✓ Blurred
vision ** can't see
Urinary retention ** can't pee
Dry mouth ** can't spit
Constipation ** can't $hit
Anticholinergics negatively effect what patient population? -
..ANSWER...✓✓ The elderly
,Page 2 of 228
What drugs are the cornerstone of asthma treatment? -
..ANSWER...✓✓ ICS
What are some examples of ICS? - ..ANSWER...✓✓ Drugs that
end in "-sone" or "-ide"
Ex: Fluticasone and budesonide
What is important patient education that should be provided
when prescribing ICS? - ..ANSWER...✓✓ Never abruptly stop
this medication, it needs to be tapered due to possible adrenal
suppression when used long term
Swish and spit after each use- this decreases the risk of thrust
,Page 3 of 228
What is the latest asthma step up treatment plan? -
..ANSWER...✓✓ Step 1: ICS-LABA PRN
Step 2: ICS daily
Step 3: ICS-LABA daily OR adding a leukotriene receptor
antagonist to their daily ICS
Severe: Medium dose ICS-LABA daily
If patient has progressed into having severe persistent asthma,
should refer to pulmonologist for assistance with management
If a patient has progressed into having severe persistent asthma,
should we be managing their care? - ..ANSWER...✓✓
Recommendation of treatment is medium dose ICS-LABA daily,
but it is in the best interest of our patient to be referred to
pulmonology for step 4 and higher to assist with management.
, Page 4 of 228
What is an example of Leukotriene receptor antagonist (LTRA)? -
..ANSWER...✓✓ Singular
What side effects are common with LTRA? - ..ANSWER...✓✓
Psychiatric side effects: insomnia, aggression, hallucinations, SI
What drug should NEVER be prescribed alone for treatment of
asthma due to risk of asthma related death? - ..ANSWER...✓✓
LABAs
If your patient has comorbidities or has had antibiotics in the last
90 days, how should pneumonia be treated? - ..ANSWER...✓✓
Fluoroquinolones (Levaquin is a respiratory Fluoroquinolone) OR
Augmentin and Macrolide
