NR 565 FINAL EXAM 2025 UPDATE QUESTIONS AND CORRECTS
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
roflumilast - answersphosphodiesterase-4 inhibitor
What does Roflumilast do? - answersreduces exacerbations in severe chronic bronchitis, COPD
(not first line)
methylxanthines - answersTheophylline, bronchodilation by relaxing smooth muscle
how to enhance IGC - answersInhale SABA 5 mins prior
what is needed before starting a SABA - answersFEV1
what is contraindicated with theophylline - answerscaffeine
LAMA - answerstiotropium
anticholinergics - answersipotropium, bromide, aclidinium
first line asthma drug - answersbeta 2 agonist
what should be used when IGC cannot be - answersleukotreines
first line for COPD - answersLABA
,oral glucocorticoids - answersterbutaline
mod/severe asthma, acute asthma or COPD exacerbations
brief periods, when symptoms cannot be controlled
SE or oral glucorticoids - answersadrenal suppression, osteoporosis, PUD, hyperglycemia
IGS/ICS - answersbeclomethasone, fluticasone, flunisolide, mometasone, budesonide,
circlesonide
preventative, for long term control
asthma list of meds - answersalways saba
1. low dose IGC
2. low dose IGC and LABA or medium dose IGS
3. medium dose IGC and LABA
4. high IGC, LABA and consider Omalizumab for allergies
5. high IGC, LABA and glucorticoids and consider Oamlizumad for allergies
COPD list of meds - answersalways SABA
1. LAMA orLABA
2. LAMA
3. LAMA or LAMA/LABA or IGC/LABA
when to take short acting isnulin - answers15-30 mins before meal
what insulin does not have a peak - answersGlargine (lantus)
, sulfonylureas contraindications - answerspregnancy, renal/hepatic impairements
what reduces risk of cardiovascular mortality - answersGLP-1
what medication does not need a dose change in renal dysfxn - answerslinagliptin
which medication class should be avoided when taking DPP4i - answersGLP-1
which medication class should be avoided when taking sulonylureas - answersmeglitinide
which medication should be taken for type 2 diabetes and HFREF - answersdapagliflozin
what agents can weaken the defenses of the GI tract - answersh pylori and NSAIDs
which drugs should be reduced when taking cimetidine - answerswarfarin, phenytoin,
theophylline
bulk forming laxatives (take with full glass of water) - answerspsyllium, methylcellulose,
polycarbophil
stimulant laxatives - answerssenna, castor oil, bisacodyl
effects on bowels with stimulant laxatives - answersstimulate intestinal motility, increase
amount of water and electroylytes within the intestinal lumen
which laxative acts on the small intestine - answerscastor oil
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
roflumilast - answersphosphodiesterase-4 inhibitor
What does Roflumilast do? - answersreduces exacerbations in severe chronic bronchitis, COPD
(not first line)
methylxanthines - answersTheophylline, bronchodilation by relaxing smooth muscle
how to enhance IGC - answersInhale SABA 5 mins prior
what is needed before starting a SABA - answersFEV1
what is contraindicated with theophylline - answerscaffeine
LAMA - answerstiotropium
anticholinergics - answersipotropium, bromide, aclidinium
first line asthma drug - answersbeta 2 agonist
what should be used when IGC cannot be - answersleukotreines
first line for COPD - answersLABA
,oral glucocorticoids - answersterbutaline
mod/severe asthma, acute asthma or COPD exacerbations
brief periods, when symptoms cannot be controlled
SE or oral glucorticoids - answersadrenal suppression, osteoporosis, PUD, hyperglycemia
IGS/ICS - answersbeclomethasone, fluticasone, flunisolide, mometasone, budesonide,
circlesonide
preventative, for long term control
asthma list of meds - answersalways saba
1. low dose IGC
2. low dose IGC and LABA or medium dose IGS
3. medium dose IGC and LABA
4. high IGC, LABA and consider Omalizumab for allergies
5. high IGC, LABA and glucorticoids and consider Oamlizumad for allergies
COPD list of meds - answersalways SABA
1. LAMA orLABA
2. LAMA
3. LAMA or LAMA/LABA or IGC/LABA
when to take short acting isnulin - answers15-30 mins before meal
what insulin does not have a peak - answersGlargine (lantus)
, sulfonylureas contraindications - answerspregnancy, renal/hepatic impairements
what reduces risk of cardiovascular mortality - answersGLP-1
what medication does not need a dose change in renal dysfxn - answerslinagliptin
which medication class should be avoided when taking DPP4i - answersGLP-1
which medication class should be avoided when taking sulonylureas - answersmeglitinide
which medication should be taken for type 2 diabetes and HFREF - answersdapagliflozin
what agents can weaken the defenses of the GI tract - answersh pylori and NSAIDs
which drugs should be reduced when taking cimetidine - answerswarfarin, phenytoin,
theophylline
bulk forming laxatives (take with full glass of water) - answerspsyllium, methylcellulose,
polycarbophil
stimulant laxatives - answerssenna, castor oil, bisacodyl
effects on bowels with stimulant laxatives - answersstimulate intestinal motility, increase
amount of water and electroylytes within the intestinal lumen
which laxative acts on the small intestine - answerscastor oil
