Question 1

What is the average duration of action of the short-acting noncatecholamine agents?

Accepted Answer

A) 1 to 2 hours 
B) 2 to 4 hours 
C) 4 to 6 hours 
D) 6 to 8 hours 
A) 1 to 2 hours 
B) 2 to 4 hours 
C) 4 to 6 hours 
D) 6 to 8 hours C

Question 2

Pharmacologic control of the airway is mediated by receptors found on all of the following structures, except:

Accepted Answer

A) smooth muscle 
B) secretory cells 
C) blood vessels 
D) alveolar epithelium 
A) smooth muscle 
B) secretory cells 
C) blood vessels 
D) alveolar epithelium D

Question 3

Which of the following are assessment features for evaluating patient response to bronchodilator therapy?
I.reversibility of airflow obstruction
II.changes in flow rates using a peak flowmeter or portable spirometry
III.changes in vital signs
IV.changes in ventilation and oxygenation
V.the patient's subjective reaction to treatment

Accepted Answer

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

Question 4

The National Asthma Education and Prevention Program guidelines advocate the use of oral administration of corticosteroids for which of the following?

Accepted Answer

A) acute asthma exacerbations 
B) maintenance of severe persistent asthma 
C) maintenance of moderate to severe persistent asthma 
D) maintenance of mild to moderate persistent asthma 
A) acute asthma exacerbations 
B) maintenance of severe persistent asthma 
C) maintenance of moderate to severe persistent asthma 
D) maintenance of mild to moderate persistent asthma

Question 5

When administering aerosolized pentamidine, what should the respiratory care practitioner do?
I.Use a nebulizer that produces particles in the 1- to 2-$\mu$m mean mass aerodynamic diameter (MMAD) range.
II.Use a nebulizer system with one-way valves and scavenging expiratory filters.
III.Provide isolation and an environmental containment system.
IV.Screen patients for human immunodeficiency virus (HIV).

Accepted Answer

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

Question 6

Which of the following is NOT a short-acting noncatecholamine bronchodilator?

Accepted Answer

A) pirbuterol 
B) terbutaline 
C) albuterol 
D) salmeterol 
A) pirbuterol 
B) terbutaline 
C) albuterol 
D) salmeterol

Question 7

Which of the following are side effects of acetylcysteine (Mucomyst)?
I.incompatibility with certain antibiotics when administered together
II.nausea
III.bronchospasm
IV.airway obstruction due to rapid liquefaction of mucus

Accepted Answer

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

Question 8

Which of the following nebulizers is used to nebulize iloprost?

Accepted Answer

A) Hudson 
B) Pari 
C) I-neb 
D) Respirgard 
A) Hudson 
B) Pari 
C) I-neb 
D) Respirgard

Question 9

Which of the following terms is used to describe a drug that stimulates a receptor responding to norepinephrine?

Accepted Answer

A) sympatholytic 
B) anticholinergic 
C) cholinergic 
D) adrenergic 
A) sympatholytic 
B) anticholinergic 
C) cholinergic 
D) adrenergic

Question 10

What is the available formulation strength for triamcinolone acetonide (Azmacort) by metered-dose inhaler?

Accepted Answer

A) 42 $\mu$g/puff 
B) 84 $\mu$g/puff 
C) 100 $\mu$g/puff 
D) 250 $\mu$g/puff 
A) 42 $\mu$g/puff 
B) 84 $\mu$g/puff 
C) 100 $\mu$g/puff 
D) 250 $\mu$g/puff

Question 11

What is the brand name of the (R)-isomer of formoterol?

Accepted Answer

A) Foradil 
B) Survanta 
C) Brovana 
D) Tornalate 
A) Foradil 
B) Survanta 
C) Brovana 
D) Tornalate

Question 12

Which of the following lung availability/total systemic availability (L/T) ratios is consistent with an efficient aerosol delivery?

Accepted Answer

A) 0.46 
B) 0.23 
C) 0.1 
D) 0.6 
A) 0.46 
B) 0.23 
C) 0.1 
D) 0.6

Question 13

Which of the following is true about the use of tobramycin?
I.It is primarily used by patients with cystic fibrosis.
II.It is intended to manage chronic infections with Pseudomonas aeruginosa
III.It is prevents deterioration of lung function due to recurrent infections.
IV.It has very good lung bioavailability.
V.It is associated with a high rate of bacterial resistance.

Accepted Answer

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

Question 14

Ipratropium bromide should be used with precaution in all of the following diseases/conditions except:

Accepted Answer

A) prostatic hypertrophy 
B) urinary retention 
C) kidney stones 
D) glaucoma 
A) prostatic hypertrophy 
B) urinary retention 
C) kidney stones 
D) glaucoma

Question 15

Which of the following is NOT considered an aerosolized antiinfective agent?

Accepted Answer

A) pentamidine 
B) ribavirin 
C) tobramycin 
D) amikacin 
A) pentamidine 
B) ribavirin 
C) tobramycin 
D) amikacin

Question 16

Which of the following short-acting catecholamines are used for their strong $\alpha$1-vasoconstricting effects to reduce swelling in the nose and larynx and to control bleeding during bronchoscopic biopsy?

Accepted Answer

A) isoproterenol 
B) isoetharine 
C) dobutamine 
D) racemic epinephrine 
A) isoproterenol 
B) isoetharine 
C) dobutamine 
D) racemic epinephrine

Question 17

Pentamidine is indicated for the treatment of which of the following diseases?

Accepted Answer

A) Pneumocystis carinii 
B) tuberculosis 
C) HIV infection 
D) pneumococcal pneumonia 
A) Pneumocystis carinii 
B) tuberculosis 
C) HIV infection 
D) pneumococcal pneumonia

Question 18

Which of the following is a contraindication for the use of nitric oxide?

Accepted Answer

A) neonates older than 34 weeks 
B) hypoxic respiratory failure 
C) right-to-left shunt dependence 
D) pulmonary hypertension 
A) neonates older than 34 weeks 
B) hypoxic respiratory failure 
C) right-to-left shunt dependence 
D) pulmonary hypertension

Question 19

Which of the following is the usual neurotransmitter in the sympathetic system?

Accepted Answer

A) atropine 
B) acetylcholine 
C) norepinephrine 
D) dopamine 
A) atropine 
B) acetylcholine 
C) norepinephrine 
D) dopamine

Question 20

What is the available formulation strength for flunisolide (AeroBid) by metered-dose inhaler?

Accepted Answer

A) 42 $\mu$g/puff 
B) 84 $\mu$g/puff 
C) 100 $\mu$g/puff 
D) 250 $\mu$g/puff 
A) 42 $\mu$g/puff 
B) 84 $\mu$g/puff 
C) 100 $\mu$g/puff 
D) 250 $\mu$g/puff

Exam 32: Airway Pharmacology

What is the average duration of action of the short-acting noncatecholamine agents?

Pharmacologic control of the airway is mediated by receptors found on all of the following structures, except:

The National Asthma Education and Prevention Program guidelines advocate the use of oral administration of corticosteroids for which of the following?

Which of the following is NOT a short-acting noncatecholamine bronchodilator?

Which of the following are side effects of acetylcysteine (Mucomyst)? I.incompatibility with certain antibiotics when administered together II.nausea III.bronchospasm IV.airway obstruction due to rapid liquefaction of mucus

Which of the following nebulizers is used to nebulize iloprost?

Which of the following terms is used to describe a drug that stimulates a receptor responding to norepinephrine?

What is the available formulation strength for triamcinolone acetonide (Azmacort) by metered-dose inhaler?

What is the brand name of the (R)-isomer of formoterol?

Which of the following lung availability/total systemic availability (L/T) ratios is consistent with an efficient aerosol delivery?

Ipratropium bromide should be used with precaution in all of the following diseases/conditions except:

Which of the following is NOT considered an aerosolized antiinfective agent?

Which of the following short-acting catecholamines are used for their strong α\alphaα 1-vasoconstricting effects to reduce swelling in the nose and larynx and to control bleeding during bronchoscopic biopsy?

Pentamidine is indicated for the treatment of which of the following diseases?

Which of the following is a contraindication for the use of nitric oxide?

Which of the following is the usual neurotransmitter in the sympathetic system?

What is the available formulation strength for flunisolide (AeroBid) by metered-dose inhaler?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

Which of the following short-acting catecholamines are used for their strong $\alpha$ ₁-vasoconstricting effects to reduce swelling in the nose and larynx and to control bleeding during bronchoscopic biopsy?