Question 1

Which of the following medications works to maintain the integrity of the mast cell?

Accepted Answer

A) Ipratropium bromide 
B) Magnesium sulfate 
C) Cromolyn sodium 
D) Methylprednisolone 
A) Ipratropium bromide 
B) Magnesium sulfate 
C) Cromolyn sodium 
D) Methylprednisolone C

Question 2

To reduce the adverse effects of inhaled corticosteroids,what should the therapist recommend?

Accepted Answer

A) Decrease the dosage 
B) Use a dry powder inhaler 
C) Use a holding chamber device 
D) Brush teeth after each inhalation 
A) Decrease the dosage 
B) Use a dry powder inhaler 
C) Use a holding chamber device 
D) Brush teeth after each inhalation C

Question 3

How long should a patient wait to receive the maximal benefit of inhaled corticosteroids?

Accepted Answer

A) 48 hours 
B) 5 days 
C) 1 to 2 weeks 
D) 1 month 
A) 48 hours 
B) 5 days 
C) 1 to 2 weeks 
D) 1 month C

Question 4

Which of the following effects constitute adverse reactions to dornase alfa (recombinant human deoxyribonuclease I (rhDNase))?
I.Chest pain
II.Pharyngitis
III.Rash
IV.Hypovolemia

Accepted Answer

A) I and IV only 
B) I,II,and III only 
C) I,III,and IV only 
D) II,III,and IV only 
A) I and IV only 
B) I,II,and III only 
C) I,III,and IV only 
D) II,III,and IV only

Question 5

The physician asks the therapist to recommend a long-acting b-agonist for a patient.Which of the following medications should the therapist recommend?

Accepted Answer

A) Levalbuterol 
B) Formoterol 
C) Metaproterenol 
D) Terbutaline 
A) Levalbuterol 
B) Formoterol 
C) Metaproterenol 
D) Terbutaline

Question 6

A patient with status asthmaticus has been admitted to the emergency department.The physician would like to try a b₂-agonist that can be administered parenterally.Which of the following drugs should the therapist suggest?

Accepted Answer

A) Terbutaline 
B) Levalbuterol 
C) Epinephrine 
D) Pirbuterol 
A) Terbutaline 
B) Levalbuterol 
C) Epinephrine 
D) Pirbuterol

Question 7

Which of the following agents should be considered in the rapid-sequence intubation of patients with status asthmaticus?

Accepted Answer

A) Atropine 
B) Magnesium sulfate 
C) Halothane 
D) Ketamine 
A) Atropine 
B) Magnesium sulfate 
C) Halothane 
D) Ketamine

Question 8

Which of the following side effects are consistent with chronic administration of theophylline?
I.Nausea
II.Vomiting
III.Tachycardia
IV.Central nervous system stimulation

Accepted Answer

A) I and II only 
B) II and III only 
C) III and IV only 
D) I,II,III,and IV 
A) I and II only 
B) II and III only 
C) III and IV only 
D) I,II,III,and IV

Question 9

While working at the bedside of a small child who has myasthenia gravis,the therapist notices a new medication order prescribing glycopyrrolate for the control of secretions.What should the therapist do at this time?

Accepted Answer

A) Inform the nurse that this medication is contraindicated for patients with myasthenia gravis. 
B) Inform the nurse that the dose is incorrect. 
C) Inform the nurse that this medication is contraindicated in children. 
D) Mention nothing because the prescription is correct. 
A) Inform the nurse that this medication is contraindicated for patients with myasthenia gravis. 
B) Inform the nurse that the dose is incorrect. 
C) Inform the nurse that this medication is contraindicated in children. 
D) Mention nothing because the prescription is correct.

Question 10

Which of the following effects is related to activation of b-adrenergic receptor sites?

Accepted Answer

A) Activation of guanyl cyclase 
B) Skeletal muscle contraction 
C) Bronchial smooth muscle relaxation 
D) Release of inflammatory mediators 
A) Activation of guanyl cyclase 
B) Skeletal muscle contraction 
C) Bronchial smooth muscle relaxation 
D) Release of inflammatory mediators

Question 11

Which of the following medications is a recombinant humanized monoclonal anti-IgE antibody use for the treatment of severe persistent asthma?

Accepted Answer

A) rhDNase 
B) RespiGam 
C) Omalizumab 
D) Palivizumab 
A) rhDNase 
B) RespiGam 
C) Omalizumab 
D) Palivizumab

Question 12

Which of the following benefits has been associated with the use of inhaled tobramycin?
I.Improvement of FEV₁
II.Eradication of Pseudomona aeruginosa
III.Reduction in hospitalization
IV.Reduction in parenteral use of antibiotics

Accepted Answer

A) I and IV only 
B) I,II,and III only 
C) I,III,and IV only 
D) I,II,III,and IV 
A) I and IV only 
B) I,II,and III only 
C) I,III,and IV only 
D) I,II,III,and IV

Question 13

Which of the following responses are considered adverse effects of inhaled corticosteroids?
I.Oropharyngeal candidiasis
II.Dry mouth
III.Wheezing
IV.Dysphonia

Accepted Answer

A) I and II only 
B) II and III only 
C) II and IV only 
D) I,III,and IV only 
A) I and II only 
B) II and III only 
C) II and IV only 
D) I,III,and IV only

Question 14

Which of the following medications is an effective adjunctive therapy in relieving bronchospasm in patients with acute bronchospasm when combined with albuterol?

Accepted Answer

A) Pirbuterol 
B) Salmeterol 
C) Metaproterenol 
D) Ipratropium bromide 
A) Pirbuterol 
B) Salmeterol 
C) Metaproterenol 
D) Ipratropium bromide

Question 15

When should the therapist administer short-acting bronchodilators to improve penetration of inhaled antibiotics?

Accepted Answer

A) Immediately after the antibiotic 
B) No more than 4 hours after administration of the antibiotic 
C) 15 minutes to 4 hours before each dose 
D) At the same time as the administration of the antibiotic 
A) Immediately after the antibiotic 
B) No more than 4 hours after administration of the antibiotic 
C) 15 minutes to 4 hours before each dose 
D) At the same time as the administration of the antibiotic

Question 16

Which of the following adverse effects is likely to be experienced by patients who use nonselective b₂-adrenergic agonists?

Accepted Answer

A) Tremor 
B) Tachypnea 
C) Bradycardia 
D) Blurred vision 
A) Tremor 
B) Tachypnea 
C) Bradycardia 
D) Blurred vision

Question 17

Nebulized pentamidine should be administered in a negative pressure room and through which of the following nebulizer systems?

Accepted Answer

A) Pari LC Plus 
B) Nebutech 
C) Respirgard II 
D) SPAG 
A) Pari LC Plus 
B) Nebutech 
C) Respirgard II 
D) SPAG

Question 18

Which of the following statements accurately describes levalbuterol?

Accepted Answer

A) It is composed of both (R)- and (S)-albuterol. 
B) The d-isomer is the most active compound. 
C) A dose of 0.63 mg is equipotent to 1.25 mg of racemic albuterol. 
D) The d-isomer possesses a longer duration of action. 
A) It is composed of both (R)- and (S)-albuterol. 
B) The d-isomer is the most active compound. 
C) A dose of 0.63 mg is equipotent to 1.25 mg of racemic albuterol. 
D) The d-isomer possesses a longer duration of action.

Question 19

Which of the following medications is the only drug that inhibits 5-lipoxygenase?

Accepted Answer

A) Montelukast 
B) Omalizumab 
C) Zafirlukast 
D) Zileuton 
A) Montelukast 
B) Omalizumab 
C) Zafirlukast 
D) Zileuton

Question 20

Which of the following medications is most suited for the treatment of postextubation edema?

Accepted Answer

A) Racemic epinephrine 
B) Ephedrine 
C) Norepinephrine 
D) Fluticasone 
A) Racemic epinephrine 
B) Ephedrine 
C) Norepinephrine 
D) Fluticasone

Exam 20: Pharmacology

Which of the following medications works to maintain the integrity of the mast cell?

To reduce the adverse effects of inhaled corticosteroids,what should the therapist recommend?

How long should a patient wait to receive the maximal benefit of inhaled corticosteroids?

Which of the following effects constitute adverse reactions to dornase alfa (recombinant human deoxyribonuclease I (rhDNase))? I.Chest pain II.Pharyngitis III.Rash IV.Hypovolemia

The physician asks the therapist to recommend a long-acting b-agonist for a patient.Which of the following medications should the therapist recommend?

A patient with status asthmaticus has been admitted to the emergency department.The physician would like to try a b₂-agonist that can be administered parenterally.Which of the following drugs should the therapist suggest?

Which of the following agents should be considered in the rapid-sequence intubation of patients with status asthmaticus?

Which of the following side effects are consistent with chronic administration of theophylline? I.Nausea II.Vomiting III.Tachycardia IV.Central nervous system stimulation

While working at the bedside of a small child who has myasthenia gravis,the therapist notices a new medication order prescribing glycopyrrolate for the control of secretions.What should the therapist do at this time?

Which of the following effects is related to activation of b-adrenergic receptor sites?

Which of the following medications is a recombinant humanized monoclonal anti-IgE antibody use for the treatment of severe persistent asthma?

Which of the following benefits has been associated with the use of inhaled tobramycin? I.Improvement of FEV₁ II.Eradication of Pseudomona aeruginosa III.Reduction in hospitalization IV.Reduction in parenteral use of antibiotics

Which of the following responses are considered adverse effects of inhaled corticosteroids? I.Oropharyngeal candidiasis II.Dry mouth III.Wheezing IV.Dysphonia

Which of the following medications is an effective adjunctive therapy in relieving bronchospasm in patients with acute bronchospasm when combined with albuterol?

When should the therapist administer short-acting bronchodilators to improve penetration of inhaled antibiotics?

Which of the following adverse effects is likely to be experienced by patients who use nonselective b₂-adrenergic agonists?

Nebulized pentamidine should be administered in a negative pressure room and through which of the following nebulizer systems?

Which of the following statements accurately describes levalbuterol?

Which of the following medications is the only drug that inhibits 5-lipoxygenase?

Which of the following medications is most suited for the treatment of postextubation edema?

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