The bronchodilator of choice for patients taking propranolol is:
The bronchodilator of choice for patients taking propranolol is:
Ipratropium
Albuterol
Pirbuterol
Formoterol IncorrectQuestion 2
0 / 2 pts
James is a 52-year-old overweight smoker taking theophylline for his persistent asthma. He tells hisprovider he is going to start the Atkin’s diet for weight loss. The appropriate response would be:
Decrease his theophylline dose because a high-protein diet may lead to elevatedtheophylline levels.
Schedule him for regular testing of serum theophylline levels during his diet dueto increased excretion of theophylline.
Recommend he try stopping smoking instead of the Atkin’s diet.
Congratulate him on making a positive change in his life. IncorrectQuestion 3
0 / 2 pts
Li takes theophylline for his persistent asthma and calls the office with a complaint of nausea,vomiting, and headache. The best advice for him would be to:
Have him seen the same day for an assessment and theophylline level
Reassure him this is probably a viral infection and should be better soon
Schedule him for an appointment in 2 to 3 days, which he can cancel if he is better
Order a theophylline level at the laboratory for him Question 4
2 / 2 pts
Tiotropium bromide (Spiriva) is an inhaled anticholinergic:
Used in the treatment of asthma
Used for the treatment of chronic obstructive pulmonary disease (COPD)
Combined with albuterol for treatment of asthma exacerbations
Combined with fluticasone for the treatment of persistent asthma Question 5
2 / 2 pts
When prescribing montelukast (Singulair) for asthma, patients or parents of patients should beinstructed:
Lethargy and hypersomnia may occur when taking montelukast.
Aggression, anxiety, depression, and/or suicidal thoughts may occur when takingmontelukast.
Patients may experience weight gain on montelukast
Montelukast twice a day is started when there is an asthma exacerbation. Question 6
2 / 2 pts
Howard is a 72-year-old male who occasionally takes diphenhydramine for his seasonal allergies.Monitoring for this patient taking diphenhydramine would include assessing for:
Skin rash
Urinary retention
Cardiac output
Peripheral edema Question 7
2 / 2 pts
When recommending dimenhydrinate (Dramamine) to treat motion sickness, patients should beinstructed to:
Take the dimenhydrinate after they get nauseated
Double the dose if one tablet is not effective
Drink lots of water while taking the dimenhydrinate
Take the dimenhydrinate 15 minutes before it is needed Question 8
2 / 2 pts
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-year- oldchild is:
Fluids and symptomatic care
Guaifenesin and codeine syrup (Tussin AC)
Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
Question 9
2 / 2 pts
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints.Bismuth subsalicylate:
Is contraindicated in children with flu-like illness
All of the above
Has antimicrobial effects against bacterial and viral enteropathogens
May lead to toxicity if taken with aspirin Question 10
2 / 2 pts
Josie is a 5-year-old patient who presents to the clinic with a 48-hour history of nausea, vomiting,and some diarrhea. She is unable to keep fluids down and her weight is 4 pounds less than her lastrecorded weight. Besides IV fluids, her exam warrants the use of an antinausea medication. Which ofthe following would be the appropriate drug to order for Josie?
Ondansetron (Zofran)
Prochlorperazine (Compazine)
Meclizine (Antivert)
Promethazine (Phenergan) Question 11
2 / 2 pts
Patients who are on chronic long-term proton pump inhibitor therapy require monitoring for:
Hypokalemia and hypocalcemia
Elevated uric acid levels leading to gout
Folate and magnesium deficiency
Iron deficiency anemia, vitamin B12 and calcium deficiency Question 12
2 / 2 pts
In children age 5 to 11 years mild-persistent asthma is diagnosed when asthma symptoms occur:
At nighttime one to two times a month
At nighttime three to four times a month
Daily
Less than twice a week Question 13
2 / 2 pts
Asthma exacerbations at home are managed by the patient by:
Starting montelukast (Singulair)
Doubling inhaled corticosteroid doses
Increasing frequency of beta-2-agonists
Increasing frequency of beta-2-agonists and contacting their provider Question 14
2 / 2 pts
Pregnant patients with asthma may safely use throughout their pregnancy.
Montelukast (Singulair)
Inhaled corticosteroids (budesonide)
Oral terbutaline
Prednisone Question 15
2 / 2 pts
Medications used in the management of patients with chronic obstructive pulmonary disease(COPD) include:
All of the above
Inhaled anticholinergics (ipratropium)
Inhaled corticosteroids
Inhaled beta-2-agonists Question 16
2 / 2 pts
Patients with COPD require monitoring of:
Neuropsychiatric effects of montelukast
Beta-2-agonist use
Blood pressure
Serum electrolytes
Question 17
2 / 2 pts
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food ordrink that may aggravate GERD include:
Soda pop
Caffeine
Eggs
Chocolate Question 18
2 / 2 pts
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is notimproving, the plan of care would be:
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks
Cytoprotective drug (misoprostol) for 4 to 8 weeks
Prokinetic (metoclopramide) for 8 to 12 weeks
Proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks Question 19
2 / 2 pts
Adults with pneumonia who are responding to antimicrobial therapy should show improvement intheir clinical status in:
4 or 5 days
12 to 24 hours
24 to 36 hours
48 to 72 hours
Question 20
2 / 2 pts
John is a 4-week-old infant who has been diagnosed with chlamydial pneumonia. An appropriatetreatment for his pneumonia would be:
Amoxicillin
Cephalexin
Levofloxacin
Erythromycin
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