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28 Cards in this Set
- Front
- Back
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Which of the following is/are the most appropriate actions a pharmacist can take to help patients with asthma improve their outcomes?
a. Educate patients about their asthma medications b. Instruct patients about the proper inhaler techniques c. Allow the patient to learn how to use the inhaler on his/her own d. A and B |
d. A and B
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Which of the following is NOT a common chronic lung disease with airflow obstruction?
a. Chronic Bronchitis b. Pulmonary Edema c. Asthma d. Emphysema |
b. Pulmonary Edema
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A patient presents with minimal airway hyperactivity, no bronchodilator response, and no corticosteroid response. Based on these symptoms, which of the following disease states is
this patient most likely presenting with? a. Asthma b. Chronic bronchitis c. COPD d. Bronchspasm |
c. COPD
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Which of the following would be LEAST useful a quick relief asthma medication?
a. inhaled corticosteroid b. inhaled Beta 2 selective agonist c. short course of systemic corticosteroid d. B and C |
a. inhaled corticosteroid
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A patient presents with asthma symptoms that are persistently unresponsive to an inhaled beta agonist. Which of the following would be the MOST appropriate?
a. use the inhaled beta agonist more frequently b. stop using all asthma medications c. short course of oral corticosteroids d. Discontinue the beta agonist and begin an inhaled steroid |
c. short course of oral corticosteroids
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As the number of canisters of Inhaled Corticosteroids used per year increases, the risk for death from asthma increases.
a. True b. False |
b. False
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A patient presents with chronic asthma symptoms during one season of the year and intermittent symptoms for the remainder of the year. Which of the following would be the
most appropriate description of this patient’s clinical pattern of asthma? a. Chronic Bronchitis b. Persistent Asthma c. COPD d. Seasonal Asthma |
d. Seasonal Asthma
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Which of the following is involved in the pathogenesis of asthma but not in the pathogenesis of COPD?
a. eosinophils b. basophils c. neutrophils d. lymphocytes |
a. eosinophils
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Charlie has had his asthma controlled for 5 years, but recently has been having exacerbations that are not responsive to inhalation of a short-acting β-agonist. Addition of which of the following would be most likely to relieve these exacerbations?
a. an inhaled long-acting β-agonist b. oral corticosteroid (short course) c. β blocker d. diuretic |
b. oral corticosteroid (short course)
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Which of the following is/are the most appropriate actions a pharmacist can take to help patients with asthma improve their outcomes?
a. Educate patients about their asthma medications b. Instruct patients about the proper inhaler techniques c. Recommend the use of non-prescription epinephrine (Primatene Mist) d. A and B |
d. A and B
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Which of the following is NOT a sign of poorly controlled asthma?
a. Waking up at night from asthma symptoms more than twice per month b. Refilling the short acting beta 2 agonist inhaler once every other month c. Poor tolerance to physical activity d. A recent ER visit or hospitalization due to an asthma exacerbation |
b. Refilling the short acting beta 2 agonist inhaler once every other month
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Written guidelines about asthma given to the patient should include which of the following:
a. The importance of long term preventative medications b. Steps to managing an acute asthma episode c. Criteria for seeking medical care d. All of the above |
d. All of the above
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A patient presents with continuous or frequently reoccurring asthma symptoms all
year around. Which of the following would be the most appropriate description of this patient’s clinical pattern of asthma? a. Seasonal b. Persistent c. Intermittent d. Allergic Rhinitis |
b. Persistent
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A patient complains to you of cough, chest tightness, and shortness of breath due
to his asthma exacerbations. Which of the following is another COMMONLY presenting symptom consistent with poorly controlled asthma? a. Wheezing b. Sneezing c. Chest Palpitations d. Diarrhea |
a. Wheezing
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Which of the following would be expected to be found in the bronchioles of a patient with asthma?
a. enhanced mucous secretion b. swollen bronchiolar mucosa c. bronchiolar smooth muscle spasm d. All of the above |
d. All of the above
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Which of the following is an example of a quick relief asthma medication?
a. topical corticosteroid b. inhaled Beta 2 selective agonist c. systemic corticosteroid d. B & C |
d. B & C
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A student is in the store purchasing a Primatene Inhaler for the second time this week. You ask her how she is doing and she says that 2 puffs of Primatene relieves her wheeze but the symptoms come back after an hour. As a consequence, she is using the inhaler almost constantly. Which of the following would be most appropriate?
a. Suggest that she should Primatene Tablet (epedrine and guaifenesin) so that she won't have to use the inhaler as often. b. Check her inhaler technique and if necessary give her appropriate instruction c. Tell her to seek medical care d. Sell her a Peak Flow meter and demonstrate how to use it |
c. Tell her to seek medical care
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Which of the following has been shown to slow the progression of COPD?
a. Inhaled corticosteroids b. Bronchodilators c. Smoking cessation d. Infection prevention with the polyvalent pneumococcal vaccine |
c. Smoking cessation
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Which of the following describes the most appropriate inhaler technique?
a. as you start to breathe in slowly, press down on inhaler b. press down on inhaler, wait 5 to 10 seconds, then breathe in slowly c. avoid use of spacer devices d. wait 5 to 10 minutes before administering a second dose |
a. as you start to breathe in slowly, press down on inhaler
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Which of the following has been shown to slow the progression of COPD?
a. Inhaled corticosteroids b. bronchodilators c. Smoking cessation d. infection prevention with the polyvalent pneumococcal vaccine |
c. Smoking cessation
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Which of the following describes the most appropriate inhaler technique?
a. as you start to breathe in slowly, press down on inhaler b. press down on inhaler, wait 5 to 10 seconds, then breathe in slowly c. avoid use of spacer devices d. wait 5 to 10 minutes before administering a 2nd dose |
a. as you start to breathe in slowly, press down on inhaler
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Which one of the following features of asthma is LEAST likely to associated with airflow limitation?
a.swollen bronchial mucosa b.mucus secretions c.bronchial smooth muscle spasm (or contraction). d. All of the above result in airflow limitation |
d. All of the above result in airflow limitation
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The clinical pattern of intermittent asthma is most likely associated with
a.Extended periods free of symptoms b.Continuous or frequently recurring symptoms c.Chronic symptoms |
a.Extended periods free of symptoms
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Which of the following statements is most TRUE regarding therapy of intermittent and/or persistent asthma?
a.Quick relief medications are used to relieve symptoms in intermittent asthma. b.Controller medications are used to prevent symptoms in intermittent asthma. c.Patients with persistent asthma do not take controller medications. |
a.Quick relief medications are used to relieve symptoms in intermittent asthma.
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Inhaled corticosteroids in patients with asthma.
a.Improve exercise tolerance b.Decrease nighttime wheezing c.Decrease daytime symptoms d.All of the above are correct |
d.All of the above are correct
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If a long acting bronchodilator is not sufficient in controlling a patient’s COPD symptoms, addition of which of the following would be most beneficial?
a.Inhaled Corticosteroid b.Oral Corticosteroid c.Long Acting Bronchodilator d.Short-Acting Bronchodilator |
a.Inhaled Corticosteroid
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Inflammation in asthma is mediated predominately through which of the following?
a.Neutrophils b.Lymphocytes c.Eosinophils d.Mast Cells e.Basophils |
c.Eosinophils
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What is the most effective treatment for COPD?
a.Smoking cessation b.Inhaled Corticosteroids c.Long Acting Bronchodilators d.Systemic Steroids |
a.Smoking cessation
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