CH14 RESPIRATORY Pharma 5th edition Woo, Robinson
1. Digoxin levels need to be monitored closely when the Albuterol
following medication is started:
Loratadine
Diphenhydramine
Ipratropium
Albuterol
2. Patients with pheochromocytoma should avoid which Beta-2-agonists
of the following classes of drugs because of the pos-
sibility of developing hypertensive crisis?
Expectorants
Beta-2-agonists
Antitussives
Antihistamines
3. Harold, a 42-year-old African American, has moder- Salmeterol, an in-
ate persistent asthma. Which of the following asthma haled long-acting
medications should be used cautiously, if at all? beta-agonist
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier
4. Long-acting beta-agonists (LTBAs) received a Black Increased risk
Box Warning from the U.S. Food and Drug Adminis- of asthma-related
tration due to the: deaths when LT-
Risk of life-threatening dermatological reactions BAs are used
Increased incidence of cardiac events when LTBAs
are used
Increased risk of asthma-related deaths when LTBAs
are used
Risk for life-threatening alterations in electrolytes
5. The bronchodilator of choice for patients taking pro- Ipratropium
pranolol is:
Albuterol
Pirbuterol
Formoterol
Ipratropium
1/5
, CH14 RESPIRATORY Pharma 5th edition Woo, Robinson
6. James is a 52-year-old overweight smoker taking Recommend he
theophylline for his persistent asthma. He tells his try stopping smok-
provider he is going to start the Atkin's diet for weight ing instead of the
loss. The appropriate response would be: Atkin's diet.
Congratulate him on making a positive change in his
life.
Recommend he try stopping smoking instead of the
Atkin's diet.
Schedule him for regular testing of serum theo-
phylline levels during his diet due to
increased excretion of theophylline.
Decrease his theophylline dose because a high-pro-
tein diet may lead to elevated
theophylline levels.
7. Li takes theophylline for his persistent asthma and Schedule him for
calls the office with a complaint of nausea, vomiting, an appointment in
and headache. The best advice for him would be to: 2 to 3 days, which
Reassure him this is probably a viral infection and he can cancel if he
should be better soon is better
Have him seen the same day for an assessment and
theophylline level
Schedule him for an appointment in 2 to 3 days, which
he can cancel if he is better
Order a theophylline level at the laboratory for him
8. Tiotropium bromide (Spiriva) is an inhaled anticholin- Used for the treat-
ergic: ment of chron-
Used for the treatment of chronic obstructive pul- ic obstructive pul-
monary disease (COPD) monary disease
Used in the treatment of asthma (COPD)
Combined with albuterol for treatment of asthma ex-
acerbations
Combined with fluticasone for the treatment of persis-
tent asthma
9. Christy has exercise-induced and mild persistent Beclomethasone
asthma and is prescribed two puffs of albuterol 15 needs to be used
minutes before exercise and as needed for wheezing.
2/5
1. Digoxin levels need to be monitored closely when the Albuterol
following medication is started:
Loratadine
Diphenhydramine
Ipratropium
Albuterol
2. Patients with pheochromocytoma should avoid which Beta-2-agonists
of the following classes of drugs because of the pos-
sibility of developing hypertensive crisis?
Expectorants
Beta-2-agonists
Antitussives
Antihistamines
3. Harold, a 42-year-old African American, has moder- Salmeterol, an in-
ate persistent asthma. Which of the following asthma haled long-acting
medications should be used cautiously, if at all? beta-agonist
Betamethasone, an inhaled corticosteroid
Salmeterol, an inhaled long-acting beta-agonist
Albuterol, a short-acting beta-agonist
Montelukast, a leukotriene modifier
4. Long-acting beta-agonists (LTBAs) received a Black Increased risk
Box Warning from the U.S. Food and Drug Adminis- of asthma-related
tration due to the: deaths when LT-
Risk of life-threatening dermatological reactions BAs are used
Increased incidence of cardiac events when LTBAs
are used
Increased risk of asthma-related deaths when LTBAs
are used
Risk for life-threatening alterations in electrolytes
5. The bronchodilator of choice for patients taking pro- Ipratropium
pranolol is:
Albuterol
Pirbuterol
Formoterol
Ipratropium
1/5
, CH14 RESPIRATORY Pharma 5th edition Woo, Robinson
6. James is a 52-year-old overweight smoker taking Recommend he
theophylline for his persistent asthma. He tells his try stopping smok-
provider he is going to start the Atkin's diet for weight ing instead of the
loss. The appropriate response would be: Atkin's diet.
Congratulate him on making a positive change in his
life.
Recommend he try stopping smoking instead of the
Atkin's diet.
Schedule him for regular testing of serum theo-
phylline levels during his diet due to
increased excretion of theophylline.
Decrease his theophylline dose because a high-pro-
tein diet may lead to elevated
theophylline levels.
7. Li takes theophylline for his persistent asthma and Schedule him for
calls the office with a complaint of nausea, vomiting, an appointment in
and headache. The best advice for him would be to: 2 to 3 days, which
Reassure him this is probably a viral infection and he can cancel if he
should be better soon is better
Have him seen the same day for an assessment and
theophylline level
Schedule him for an appointment in 2 to 3 days, which
he can cancel if he is better
Order a theophylline level at the laboratory for him
8. Tiotropium bromide (Spiriva) is an inhaled anticholin- Used for the treat-
ergic: ment of chron-
Used for the treatment of chronic obstructive pul- ic obstructive pul-
monary disease (COPD) monary disease
Used in the treatment of asthma (COPD)
Combined with albuterol for treatment of asthma ex-
acerbations
Combined with fluticasone for the treatment of persis-
tent asthma
9. Christy has exercise-induced and mild persistent Beclomethasone
asthma and is prescribed two puffs of albuterol 15 needs to be used
minutes before exercise and as needed for wheezing.
2/5
