Maryville Pharm Exam 4 Questions And
Answers 2025
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
,Maryville Pharm Exam 4 Questions And
Answers 2025
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
,Maryville Pharm Exam 4 Questions And
Answers 2025
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.
, Maryville Pharm Exam 4 Questions And
Answers 2025
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
Answers 2025
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
,Maryville Pharm Exam 4 Questions And
Answers 2025
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
,Maryville Pharm Exam 4 Questions And
Answers 2025
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.
, Maryville Pharm Exam 4 Questions And
Answers 2025
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
