Advanced Pharmacology- Exam 2
Questions with Correct Answers 2025
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - correct answer-Albuterol
Patients with pheochromocytoma should avoid which of the following classes of drugs because of the
possibility of developing hypertensive crisis?
1. Expectorants
2. Beta-2-agonists
3. Antitussives
4. Antihistamines - correct answer-Beta-2-agonists
Harold, a 42-year-
old African American, has moderate persistent asthma. Which of the following asthma medications sh
ould be used cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier - correct answer-Salmeterol, an inhaled long-acting beta-
agonist
Long-acting beta-
agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
,4. Risk for life-threatening alterations in electrolytes - correct answer-Increased risk of asthma-
related deaths when LTBAs are used
The bronchodilator of choice for patients taking propranolol is:
1. Albuterol
2. Pirbuterol
3. Formoterol
4. Ipratropium - correct answer-Ipratropium
James is a 52-year-
old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going t
o start the Atkin's diet for weight loss. The appropriate response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to increased excret
ion of theophylline.
4. Decrease his theophylline dose because a high-
protein diet may lead to elevated theophylline levels. - correct answer-
Recommend he try stopping smoking instead of the Atkin's diet.
Li takes theophylline for his persistent asthma and calls the office with a complaint of nausea, vomitin
g, and headache. The best advice for him would be to:
1. Reassure him this is probably a viral infection and should be better soon
2. Have him seen the same day for an assessment and theophylline level
3. Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
4. Order a theophylline level at the laboratory for him - correct answer-
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
, 4. Combined Lwith Lfluticasone Lfor Lthe Ltreatment Lof Lpersistent Lasthma L- Lcorrect
Lanswer- LUsed Lfor Lthe Ltreatment Lof Lchronic Lobstructive Lpulmonary Ldisease
L(COPD)
Christy L has L exercise-
induced L and Lmild Lpersistent L asthma Land Lis L prescribed Ltwo L puffs L of Lalbuterol L15 Lminutes
L before L exercis L e Land Las Lneeded Lfor Lwheezing. LOne Lpuff Lper Lday Lof Lbeclomethasone L(QVAR) Lis
Lalso Lprescribed. LTeachin L g Lregarding Lher Linhalers Lincludes:
1. Use L one L to L two L puffs L of L albuterol L per L day L to L prevent L an L attack L with L no L more L than L eight
L puffs L per L da Ly
2. Beclomethasone L needs L to L be L used L every L day L to L treat L her L asthma
3. Report L any L systemic L side L effects L she L is L experiencing, L such L as L weight L gain
4. Use L the L albuterol L metered-
dose Linhaler L(MDI) Limmediately Lafter Lher Lcorticosteroid LMDI Lto Lfacilitate
Lbronchodilation L- Lcorrect Lanswer-Beclomethasone Lneeds Lto Lbe Lused Levery Lday Lto
Ltreat Lher Lasthma
When Lprescribing Lmontelukast L(Singulair) Lfor Lasthma, Lpatients Lor Lparents Lof Lpatients Lshould Lbe
Linstruc Lted:
1. Montelukast Ltwice L a L day L is L started L when L there L is L an L asthma L exacerbation
.2. L Patients L may L experience L weight L gain Lon L montelukast.
3. LAggression, L anxiety, L depression, L and/or L suicidal L thoughts L may Loccur L when L taking L montelukast.
4. LLethargy L and L hypersomnia L may L occur Lwhen L taking Lmontelukast. L - L correct L answer-
Aggression, Lanxiety, L depression, L and/or Lsuicidal Lthoughts L may Loccur Lwhen Ltaking Lmontelukast.
Montelukast L(Singulair) Lmay L be Lprescribed Lfor:
1. A L6-year-old Lchild Lwith L exercise-induced L asthma
2. A L2-year-old Lchild Lwith Lmoderate L persistent L asthma
3. An L 18-month-old L child L with L seasonal L allergic L rhinitis
4. None Lof Lthe Labove; Lmontelukast Lis Lnot Lapproved Lfor Luse Lin Lchildren L- Lcorrect Lanswer-A
L2-year- Lold Lchild Lwith Lmoderate Lpersistent Lasthma
The Lknown Ldrug Linteractions Lwith Lthe Linhaled Lcorticosteroid Lbeclomethasone L(QVAR) Linclude:
1. Albuterol
Questions with Correct Answers 2025
Digoxin levels need to be monitored closely when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - correct answer-Albuterol
Patients with pheochromocytoma should avoid which of the following classes of drugs because of the
possibility of developing hypertensive crisis?
1. Expectorants
2. Beta-2-agonists
3. Antitussives
4. Antihistamines - correct answer-Beta-2-agonists
Harold, a 42-year-
old African American, has moderate persistent asthma. Which of the following asthma medications sh
ould be used cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier - correct answer-Salmeterol, an inhaled long-acting beta-
agonist
Long-acting beta-
agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to the:
1. Risk of life-threatening dermatological reactions
2. Increased incidence of cardiac events when LTBAs are used
3. Increased risk of asthma-related deaths when LTBAs are used
,4. Risk for life-threatening alterations in electrolytes - correct answer-Increased risk of asthma-
related deaths when LTBAs are used
The bronchodilator of choice for patients taking propranolol is:
1. Albuterol
2. Pirbuterol
3. Formoterol
4. Ipratropium - correct answer-Ipratropium
James is a 52-year-
old overweight smoker taking theophylline for his persistent asthma. He tells his provider he is going t
o start the Atkin's diet for weight loss. The appropriate response would be:
1. Congratulate him on making a positive change in his life.
2. Recommend he try stopping smoking instead of the Atkin's diet.
3. Schedule him for regular testing of serum theophylline levels during his diet due to increased excret
ion of theophylline.
4. Decrease his theophylline dose because a high-
protein diet may lead to elevated theophylline levels. - correct answer-
Recommend he try stopping smoking instead of the Atkin's diet.
Li takes theophylline for his persistent asthma and calls the office with a complaint of nausea, vomitin
g, and headache. The best advice for him would be to:
1. Reassure him this is probably a viral infection and should be better soon
2. Have him seen the same day for an assessment and theophylline level
3. Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
4. Order a theophylline level at the laboratory for him - correct answer-
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
1. Used for the treatment of chronic obstructive pulmonary disease (COPD)
2. Used in the treatment of asthma
3. Combined with albuterol for treatment of asthma exacerbations
, 4. Combined Lwith Lfluticasone Lfor Lthe Ltreatment Lof Lpersistent Lasthma L- Lcorrect
Lanswer- LUsed Lfor Lthe Ltreatment Lof Lchronic Lobstructive Lpulmonary Ldisease
L(COPD)
Christy L has L exercise-
induced L and Lmild Lpersistent L asthma Land Lis L prescribed Ltwo L puffs L of Lalbuterol L15 Lminutes
L before L exercis L e Land Las Lneeded Lfor Lwheezing. LOne Lpuff Lper Lday Lof Lbeclomethasone L(QVAR) Lis
Lalso Lprescribed. LTeachin L g Lregarding Lher Linhalers Lincludes:
1. Use L one L to L two L puffs L of L albuterol L per L day L to L prevent L an L attack L with L no L more L than L eight
L puffs L per L da Ly
2. Beclomethasone L needs L to L be L used L every L day L to L treat L her L asthma
3. Report L any L systemic L side L effects L she L is L experiencing, L such L as L weight L gain
4. Use L the L albuterol L metered-
dose Linhaler L(MDI) Limmediately Lafter Lher Lcorticosteroid LMDI Lto Lfacilitate
Lbronchodilation L- Lcorrect Lanswer-Beclomethasone Lneeds Lto Lbe Lused Levery Lday Lto
Ltreat Lher Lasthma
When Lprescribing Lmontelukast L(Singulair) Lfor Lasthma, Lpatients Lor Lparents Lof Lpatients Lshould Lbe
Linstruc Lted:
1. Montelukast Ltwice L a L day L is L started L when L there L is L an L asthma L exacerbation
.2. L Patients L may L experience L weight L gain Lon L montelukast.
3. LAggression, L anxiety, L depression, L and/or L suicidal L thoughts L may Loccur L when L taking L montelukast.
4. LLethargy L and L hypersomnia L may L occur Lwhen L taking Lmontelukast. L - L correct L answer-
Aggression, Lanxiety, L depression, L and/or Lsuicidal Lthoughts L may Loccur Lwhen Ltaking Lmontelukast.
Montelukast L(Singulair) Lmay L be Lprescribed Lfor:
1. A L6-year-old Lchild Lwith L exercise-induced L asthma
2. A L2-year-old Lchild Lwith Lmoderate L persistent L asthma
3. An L 18-month-old L child L with L seasonal L allergic L rhinitis
4. None Lof Lthe Labove; Lmontelukast Lis Lnot Lapproved Lfor Luse Lin Lchildren L- Lcorrect Lanswer-A
L2-year- Lold Lchild Lwith Lmoderate Lpersistent Lasthma
The Lknown Ldrug Linteractions Lwith Lthe Linhaled Lcorticosteroid Lbeclomethasone L(QVAR) Linclude:
1. Albuterol
