UPDATE 2026
Which class of inhaled medication is the preferred monotherapy for a patient with
chronic obstructive pulmonary disorder (COPD) who describes few symptoms but has
been hospitalized for an exacerbation in the prior 12 months?
a. long-acting muscarinic antagonists (LAMAs)
b. long-acting beta agonists (LABAs)
c. phosphodiesterase-4 inhibitors (PDE4-inhibitors)
d. inhaled corticosteroids (ICS) - Answers A. Long-acting muscarinic antagonist
(LAMA)
Which is a known risk of inhaled corticosteroids (ICS) in COPD?
a. ICS should not be discontinued
b. Try ICS monotherapy first
c. ICS increase pneumonia risk
d. ICS for all with exacerbations - Answers c. ICS increase pneumonia risk
Which are side effects of inhaled steroids for asthma? (Select all)
a. Epistaxis
b. Headache
c. Rebound congestion
d. Depression
e. Sepsis - Answers Epistaxis, Headache
Fluticasone and budesonide are examples of what type of drug?
a. Oral corticosteroids
b. Inhaled corticosteroids
c. LABAs
d. SABAs - Answers b. Inhaled corticosteroids
What is the preferred monotherapy to step up asthma treatment when a rescue inhaler
is used daily?
a. LABA
b. Oral corticosteroid
c. Immunomodulator
d. Inhaled corticosteroid - Answers d. Inhaled corticosteroid
What is the preferred maintenance medication for Group B COPD?
a. No meds needed
b. ICS + LABA or LAMA
c. ICS + LABA + PDE4
d. LAMA or LABA - Answers d. LAMA or LABA
What intervention provides immediate relief in acute asthma with O2 sat of 86%?
a. Oxygen
b. Diphenhydramine
c. Prednisone
d. Ipratropium/albuterol neb - Answers d. Ipratropium/albuterol neb
Diphenhydramine is used for which conditions?
a. Urticaria
b. Angioedema
c. Rhinitis
d. Motion sickness
e. Productive cough - Answers a. Urticaria
, b. Angioedema
c. Rhinitis
d. Motion sickness
Which intervention slows the progression of COPD? a. Smoking cessation
b. No interventions help
c. LABAs
d. ICS - Answers a. Smoking cessation
What drug makes a dry cough more productive in bronchitis?
a. Fluticasone
b. Guaifenesin
c. Diphenhydramine
d. Benzonatate - Answers b. Guaifenesin
When should a sympathomimetic inhaler be used for exercise-induced asthma?
a. As soon as symptoms start
b. 2-3 hrs before
c. 30-60 min prior
d. Same time daily - Answers c. 30-60 min prior
First-line Step 3 asthma treatment?
a. Symbicort
b. Serevent
c. Flovent
d. Singulair - Answers a. Symbicort
Best antibiotic for CAP in a patient with penicillin allergy?
a. Doxycycline
b. Cefdinir
c. Azithromycin
d. Moxifloxacin - Answers a. Doxycycline
Maintenance therapy for Group A COPD?
a. bronchodialator
b. ICS combo
c. Triple therapy
d. LAMA or LABA - Answers a. bronchodilator
Most likely diagnosis with 6-week URI symptoms, normal vitals, and clear lungs?
a. Acute rhinosinusitis
b. Acute infectious rhinitis
c. CAP
d. Chronic rhinosinusitis - Answers b. Acute infectious rhinitis
First-line antibiotic for healthy <60 y/o with CAP and no comorbidities?
a. Macrolides
b. 2nd-gen cephalosporins
c. 1st-gen cephalosporins
d. Beta-lactams - Answers a. Macrolides
What is a true antitussive drug?
a. Pseudoephedrine
b. Dextromethorphan
c. Guaifenesin
d. Oxymetazoline - Answers b. Dextromethorphan
What lab should be monitored with methylprednisolone?
a. Blood glucose
b. WBC