Maryville Pharm Exam 4 Questions With
Correct Answers
Tiotriopium use - CORRECT ANSWER✔✔-management/maintenance of
| | | | | |
COPD (chronic bronchitis and emphysema); NOT for acute exacerbations
| | | | | | | |
Tiotropium mech of action - CORRECT ANSWER✔✔-Non-selective
| | | | | | |
muscarinic receptor antagonist; or anti-muscarinic/anticholinergic. Acts
| | | | | |
mainly on M3 receptors located on the smooth muscle cells and
| | | | | | | | | | |
submucosal cells |
Spiriva - CORRECT ANSWER✔✔-Tiotropium brand name
| | | | |
Singulair - CORRECT ANSWER✔✔-Montelukast brand name
| | | | |
Montelukast adverse effects - CORRECT ANSWER✔✔-Skin rash
| | | | | |
Mood changes: of anxiety, aggression, depression, and or suicidal
| | | | | | | | |
thoughts can occur | |
Tremors
Headache |
GI: stomach pain, heartburn, upset stomach, N/D
| | | | | |
,Sore throat, stuffy nose, cough, hoarseness
| | | | |
Tooth pain |
Tiredness
Montelukast drug interactions - CORRECT ANSWER✔✔-Phenobarbital
| | | | | |
and rifampin
|
Montelukast patient teaching - CORRECT ANSWER✔✔-Not for asthma
| | | | | | | |
attacks; not for exercise induced bronchoconstriction.
| | | | | |
Call prescriber for mood/behavior changes: anxiety, depression,
| | | | | | |
thoughts of suicide/self-harm | |
May take several weeks to take full effect
| | | | | | |
Follow label directions| |
Notify prescriber re any deterioration in asthma sx
| | | | | | |
Inhaled corticosteroid pt teaching - CORRECT ANSWER✔✔-Take twice a
| | | | | | | | |
day, every day for prevention of asthma
| | | | | |
Rinse mouth after use to prevent thrush
| | | | | |
Long-acting Beta agonist contraindicated for - CORRECT ANSWER✔✔-
| | | | | | |
African Americans have increased incidence of death with this category
| | | | | | | | | |
of meds
|
,Ipratropium - CORRECT ANSWER✔✔-Prescribed for bronchospasm with
| | | | | | |
use of propranolol
| |
Mech of action for albuterol - CORRECT ANSWER✔✔-Relaxes bronchial
| | | | | | | | |
smooth muscle by action on the beta 2 receptors with little effect on
| | | | | | | | | | | | |
heart rate, causing dilation of airways
| | | | |
Mech of action of inhaled corticosteroids - CORRECT ANSWER✔✔-
| | | | | | | |
Extremely potent vasoconstrictive and anti-inflammatory activity
| | | | |
Increase peak flow readings. | | |
Decrease airway hyperresponsiveness| |
Inhibits the immunoglobulin E (IgE) and mas cell-mediated migration of
| | | | | | | | | |
inflammatory cells into the bronchial tissue (late-phase allergic
| | | | | | | |
reaction). |
Exact mechanism of action on bronchoconstriction and production of
| | | | | | | | |
smooth muscle relaxation and nasal mucosa is unknown.
| | | | | | |
Intranasal applied topically in the nasal tissue exert anti-inflammatory
| | | | | | | | |
effects |
Allergic rhinitis and asthma - the primary action is anti-inflammatory.
| | | | | | | | |
Short-acting Beta agonist use - CORRECT ANSWER✔✔-Drug of choice
| | | | | | | | |
for acute treatment of asthma sx and exacerbations
| | | | | | |
Relax bronchospasms (tight band)
| | |
Doesn't control inflammation
| |
, Shouldn't be needed more than 2x/week
| | | | |
Inhaled anti-muscarinics/anticholinergics MOA - CORRECT ANSWER✔✔-
| | | | |
Prevents the effects of ACh by competitively blocking its binding to
| | | | | | | | | | |
muscarinic receptors in the CNS, peripheral ganglia and at neuroeffector
| | | | | | | | |
|sites on the smooth muscle, cardiac muscle and secretory glands.
| | | | | | | | |
Prototype of muscarinic receptor antagonists - CORRECT ANSWER✔✔-
| | | | | | |
Atropine
Action of antimuscarinics/anticholinergics - CORRECT ANSWER✔✔-
| | | | |
Inhibist secrections of the nose, mouth, pharynx and bronchi: dryness of
| | | | | | | | | |
|hte mucous membranes of the respiratory tract. Esp marked if the
| | | | | | | | | | |
secretions are excessive. | | |
Used in pre-anesthetic medication for this reason
| | | | | |
Undesirable side effects of Atropine - CORRECT ANSWER✔✔-depression
| | | | | | |
of mucous secretion and the inhibition of mucociliary clearance
| | | | | | | | |
Atropine is particularly effective against: - CORRECT ANSWER✔✔-
| | | | | | |
bronchoconstriction produced by parasympathomimetic drugs like | | | | | |
methacholine
also partially antagonizes bronchoconstriction induced by histamine and
| | | | | | |
bradykinin
|
Correct Answers
Tiotriopium use - CORRECT ANSWER✔✔-management/maintenance of
| | | | | |
COPD (chronic bronchitis and emphysema); NOT for acute exacerbations
| | | | | | | |
Tiotropium mech of action - CORRECT ANSWER✔✔-Non-selective
| | | | | | |
muscarinic receptor antagonist; or anti-muscarinic/anticholinergic. Acts
| | | | | |
mainly on M3 receptors located on the smooth muscle cells and
| | | | | | | | | | |
submucosal cells |
Spiriva - CORRECT ANSWER✔✔-Tiotropium brand name
| | | | |
Singulair - CORRECT ANSWER✔✔-Montelukast brand name
| | | | |
Montelukast adverse effects - CORRECT ANSWER✔✔-Skin rash
| | | | | |
Mood changes: of anxiety, aggression, depression, and or suicidal
| | | | | | | | |
thoughts can occur | |
Tremors
Headache |
GI: stomach pain, heartburn, upset stomach, N/D
| | | | | |
,Sore throat, stuffy nose, cough, hoarseness
| | | | |
Tooth pain |
Tiredness
Montelukast drug interactions - CORRECT ANSWER✔✔-Phenobarbital
| | | | | |
and rifampin
|
Montelukast patient teaching - CORRECT ANSWER✔✔-Not for asthma
| | | | | | | |
attacks; not for exercise induced bronchoconstriction.
| | | | | |
Call prescriber for mood/behavior changes: anxiety, depression,
| | | | | | |
thoughts of suicide/self-harm | |
May take several weeks to take full effect
| | | | | | |
Follow label directions| |
Notify prescriber re any deterioration in asthma sx
| | | | | | |
Inhaled corticosteroid pt teaching - CORRECT ANSWER✔✔-Take twice a
| | | | | | | | |
day, every day for prevention of asthma
| | | | | |
Rinse mouth after use to prevent thrush
| | | | | |
Long-acting Beta agonist contraindicated for - CORRECT ANSWER✔✔-
| | | | | | |
African Americans have increased incidence of death with this category
| | | | | | | | | |
of meds
|
,Ipratropium - CORRECT ANSWER✔✔-Prescribed for bronchospasm with
| | | | | | |
use of propranolol
| |
Mech of action for albuterol - CORRECT ANSWER✔✔-Relaxes bronchial
| | | | | | | | |
smooth muscle by action on the beta 2 receptors with little effect on
| | | | | | | | | | | | |
heart rate, causing dilation of airways
| | | | |
Mech of action of inhaled corticosteroids - CORRECT ANSWER✔✔-
| | | | | | | |
Extremely potent vasoconstrictive and anti-inflammatory activity
| | | | |
Increase peak flow readings. | | |
Decrease airway hyperresponsiveness| |
Inhibits the immunoglobulin E (IgE) and mas cell-mediated migration of
| | | | | | | | | |
inflammatory cells into the bronchial tissue (late-phase allergic
| | | | | | | |
reaction). |
Exact mechanism of action on bronchoconstriction and production of
| | | | | | | | |
smooth muscle relaxation and nasal mucosa is unknown.
| | | | | | |
Intranasal applied topically in the nasal tissue exert anti-inflammatory
| | | | | | | | |
effects |
Allergic rhinitis and asthma - the primary action is anti-inflammatory.
| | | | | | | | |
Short-acting Beta agonist use - CORRECT ANSWER✔✔-Drug of choice
| | | | | | | | |
for acute treatment of asthma sx and exacerbations
| | | | | | |
Relax bronchospasms (tight band)
| | |
Doesn't control inflammation
| |
, Shouldn't be needed more than 2x/week
| | | | |
Inhaled anti-muscarinics/anticholinergics MOA - CORRECT ANSWER✔✔-
| | | | |
Prevents the effects of ACh by competitively blocking its binding to
| | | | | | | | | | |
muscarinic receptors in the CNS, peripheral ganglia and at neuroeffector
| | | | | | | | |
|sites on the smooth muscle, cardiac muscle and secretory glands.
| | | | | | | | |
Prototype of muscarinic receptor antagonists - CORRECT ANSWER✔✔-
| | | | | | |
Atropine
Action of antimuscarinics/anticholinergics - CORRECT ANSWER✔✔-
| | | | |
Inhibist secrections of the nose, mouth, pharynx and bronchi: dryness of
| | | | | | | | | |
|hte mucous membranes of the respiratory tract. Esp marked if the
| | | | | | | | | | |
secretions are excessive. | | |
Used in pre-anesthetic medication for this reason
| | | | | |
Undesirable side effects of Atropine - CORRECT ANSWER✔✔-depression
| | | | | | |
of mucous secretion and the inhibition of mucociliary clearance
| | | | | | | | |
Atropine is particularly effective against: - CORRECT ANSWER✔✔-
| | | | | | |
bronchoconstriction produced by parasympathomimetic drugs like | | | | | |
methacholine
also partially antagonizes bronchoconstriction induced by histamine and
| | | | | | |
bradykinin
|
