Deck 13: Pulmonary and Allergy Agents

Question 1

Ipratropium is available in which of the following dosage formulation(s)?

A) Aerosol for inhalation
B) Solution for nebulization
C) Nasal spray
D) All of the above

Answer 1

D

Question 2

Spiriva is indicated for which of the following? (Select all that apply)

A) Asthma
B) COPD
C) Allergic rhinitis
D) Cough and cold

Answer 2

A,B

Question 3

Which of the following is an important counseling point about Spiriva?

A) Effectiveness may be reduced if taken at bedtime.
B) Can be used to treat acute bronchospasms in COPD.
C) Capsules should be inhaled only and not taken orally.
D) Rinse mouth with water after each use.

Answer 3

C

Question 4

Which of the following inhaled anticholinergics can improve patient adherence due to its once daily dosing schedule?

A) Atrovent (Ipratropium)
B) Seebri Neohaler (Glycopyrrolate)
C) Incruse Ellipta (Umeclidinium)
D) Tudorza Pressair (Aclidinium)

Question 5

Which of the following drug classes should be avoided in the elderly due to an increased risk of anticholinergic effects?

A) First-generation antihistamines
B) Second-generation antihistamines
C) Leukotriene inhibitors
D) β-2 agonists

Question 6

Which of the following agents contains a black box warning to avoid intravenous push or subcutaneous administration due to the potential to cause severe tissue damage?

A) Diphenhydramine
B) Hydroxyzine
C) Promethazine
D) Theophylline

Question 7

Which of the following antihistamines is not recommended in children < 2 years of age?

A) Zyrtec
B) Claritin
C) Allegra
D) Atarax

Question 8

Paradoxical excitation in children is known to be a potential adverse effect of which medication?

A) Albuterol
B) Diphenhydramine
C) Loratadine
D) Salmeterol

Question 9

Which of the following drugs competitively antagonize H1 receptors and do not cross the blood brain barrier?

A) Benadryl
B) Mucinex
C) Vistaril
D) Xyzal

Question 10

Which of the following antihistamines should you counsel patients to separate from administration of an antacid due to reduced absorption?

A) Promethazine
B) Loratadine
C) Fexofenadine
D) Hydroxyzine

Question 11

Which of the following is the preferred antihistamine to use when needed during pregnancy?

A) Loratadine
B) Fexofenadine
C) Hydroxyzine
D) Promethazine

Question 12

Which of the following agents is an antitussive?

A) Benzonatate
B) Tiotropium
C) Guaifenesin
D) Promethazine

Question 13

Which of the following inhalers contains a long-acting beta-2 agonist and an anticholinergic?

A) Advair
B) Breo Ellipta
C) Pulmicort
D) Stiolto Respimat

Question 14

Which of the following inhaled corticosteroids is available in combination with formoterol?

A) Beclomethasone
B) Budesonide
C) Fluticasone
D) Triamcinolone

Question 15

Which of the following is a long-acting β-2 agonist?

A) Albuterol
B) Levalbuterol
C) Indacaterol
D) Theophylline

Question 16

Which of the following inhaled agents can cause oral candidiasis?

A) Albuterol
B) Formoterol
C) Ipratropium
D) Triamcinolone

Question 17

Which of the following agents should NOT be used as monotherapy when treating asthma due to an increased risk of death when used alone?

A) Ventolin
B) Flovent
C) Striverdi Respimat
D) Theophylline

Question 18

Which of the following inhaled corticosteroids may interact with cytochrome P-450 3A4 inducers or inhibitors?

A) Beclomethasone
B) Budesonide
C) Triamcinolone
D) Mometasone

Question 19

Which of the following is a serious adverse reaction that may occur with the concomitant use of fluticasone and protease inhibitors?

A) Cushing's syndrome
B) Hepatitis
C) Oral candidiasis
D) Vestibular dysfunction

Question 20

Which of the following is a common adverse reaction associated with albuterol?

A) Oral candidiasis
B) Tremors
C) Hoarseness
D) Dry mouth

Question 21

Which of the following inhalers is available as a Diskus inhaler only and cannot be used with a spacer device?

A) Advair HFA
B) Serevent
C) Symbicort
D) Xopenex

Question 22

Which of the following antihistamine is available in combination with codeine for the treatment of cough?

A) Chlorpheniramine
B) Diphenhydramine
C) Levocetirizine
D) Promethazine

Question 23

Which of the following combination cough and cold products are available without a prescription?

A) Guiatussin AC
B) Mucinex DM
C) Phenergan with codeine
D) Tussionex

Question 24

Which of the following agents should NOT be used with MAO inhibitors or serotonin modulators?

A) Guiatussin AC
B) Mucinex
C) Phenergan with codeine
D) Mucinex DM

Question 25

Alcohol and benzodiazepines should NOT be used with which of the following agents due to enhanced CNS depressant effects and respiratory depression?

A) Afrin
B) Atrovent
C) Mucinex
D) Tussionex

Question 26

Which of the following agents can cause kidney stones with large doses?

A) Guaifenesin
B) Montelukast
C) Promethazine with codeine
D) Theophylline

Question 27

Which of the following adverse reactions is commonly seen with the use of Nasonex?

A) Hoarseness
B) Oral candidiasis
C) Epistaxis
D) Hyperglycemia

Question 28

Which of the following is NOT an indication for intranasal corticosteroids?

A) Cough and cold
B) Seasonal rhinitis
C) Prevention of nasal polyps
D) Perennial rhinitis

Question 29

Which of the following agents can cause rebound congestion if used for more than 3 days?

A) Dristan
B) Beconase AQ
C) Nasacort
D) Promethazine

Question 30

Which of the following instructions should be given to patients to do before each use of an inhaled corticosteroid?

A) Spray into the air 5 times
B) Start a new inhaler
C) Blow your nose
D) Use an oral inhaler

Question 31

Which of the following agents should be avoided in patients with severe liver disease?

A) Atrovent
B) Mucinex
C) Singulair
D) Tessalon

Question 32

Which of the following serious adverse effects requires close monitoring after administration with omalizumab?

A) Anaphylaxis
B) Rash
C) Bleeding
D) Tachycardia

Question 33

Which of the following agents used for cough or cold should be avoided in patients with uncontrolled hypertension?

A) Pseudoephedrine
B) Guaifenesin
C) Benzonatate
D) Promethazine with codeine

Question 34

Which is the recommended site of injection of an epinephrine auto-injector for the treatment of anaphylaxis?

A) Upper arm
B) Abdomen
C) Mid-thigh
D) Chest

Question 35

Which of the following adverse reactions is associated with elevated theophylline concentrations?

A) Oral candidiasis
B) Paradoxical bronchospasms
C) Respiratory tract infection
D) Tachycardia