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48 Cards in this Set
- Front
- Back
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Lilly is a 15 year-old girl with asthma. She uses a steroid inhaler daily and has an albuterol inhaler that she uses before she runs track. Track meets can be long and sometimes last several hours. Lilly's albuterol inhaler ran out at the last meet and she became short of breath. Choose an appropriate recommendation that would provide longer-acting relief for Lilly to use prior to a track meet: Answer AShe can use Aerospan HFA instead of the short-acting beta agonist. BShe can use Foradil instead of the short-acting beta agonist. CShe can use Proventil instead of the short-acting beta agonist. DShe can use theophylline instead of the short-acting beta agonist. EShe can use Accolate instead of the short-acting beta agonist. |
BShe can use Foradil instead of the short-acting beta agonist. |
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Madison is a four year-old girl with asthma. She will receive montelukast. Select the correct dose for a four year-old child. Answer AA 4 mg chewable tablet taken once daily in the evening BA 5 mg chewable tablet taken once daily in the evening CA 5 mg chewable tablet taken BID DA 10 mg chewable tablet taken once daily in the evening EA 10 mg chewable tablet taken BID
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AA 4 mg chewable tablet taken once daily in the evening |
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Sammy is an 18 month old boy who has been prescribed montelukast granules. Counsel the parents on how to administer the granules to their son: Answer AMix with 4 oz of applesauce and administer within 24 hours. BYou can open the granule packet up to 8 hours prior to use. CMix with one tablespoon of warm water. DMix with a spoonful of cool, mashed carrots and administer within minutes. EMix with a tablespoon of breast milk or formula and mixture can be stored up to 2 hours.
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DMix with a spoonful of cool, mashed carrots and administer within minutes. |
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A patient with mild, intermittent asthma has been prescribed an albuterol MDI. You are going to counsel the patient on the correct use of the device. Place the instructions for proper MDI technique below in the correct order. Press the top of the canister while you are breathing in deeply and slowly. Shaker the inhaler for 5 seconds. Hold your breath as long as you can, up to 10 seconds. Remove the dust cap from the inhaler. Inspect the mouthpiece for any debris. Answer AShake the inhaler for 5 seconds. BHold your breath as long as you can, up to 10 seconds. CInspect the mouthpiece for any debris. DPress the top of the canister while you are breathing in deeply and slowly. ERemove the dust cap from the inhaler. |
ERemove the dust cap from the inhaler. |
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What is the generic name of Xopenex? Answer ALevalbuterol BTiotropium COmalizumab DArformoterol EIndacaterol |
ALevalbuterol |
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A 70 year old patient has been prescribed Xopenex. Choose the correct statement concerning Xopenex: Answer AXopenex causes less tachycardia than albuterol. BXopenex causes fewer headaches than albuterol. CXopenex causes less nervousness than albuterol. DXopenex is the R-isomer of albuterol. EXopenex is the L-isomer of albuterol.
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DXopenex is the R-isomer of albuterol. |
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What is the sweetener used in the montelukast chewable tablets? Answer ASorbitol BHoney CSplenda DPhenylalanine ESucrose |
DPhenylalanine |
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The asthma guidelines recommend that patients with persistent asthma use a long-term control medication to be taken daily in order to achieve and maintain control of persistent asthma symptoms. Which class of agents is considered the best course of therapy for persistent asthma symptom control? Answer ALong-acting bronchodilators BInhaled corticosteroids CLeukotriene modifiers DTheophylline EImmunomodulators |
BInhaled corticosteroids |
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Heather has had asthma for a number of years and has been in denial about her disease. At the age of 22 years, she wants to better manage her condition. Her doctor tells her that she is a Step 4 asthmatic and explains to her how to use a peak flow meter. Heather's personal best number is 300. Now Heather is in the pharmacy and she has selected a peak flow meter to purchase but admits to forgetting the steps in using it. Which of the following statements are correct in counseling Heather on the appropriate use of a peak flow meter? (Select ALL that apply.) Answer ADo the peak flow meter assessment in the morning, before you take your medications. BPerform one assessment (3 readings) per day and record the highest number of the assessment in a log book. CIt is best to perform the assessment in a supine position with the legs not elevated higher than the lungs. DCoughing during the assessment invalidates the reading. EIf the value recorded is less than 150, she should go to the hospital immediately, regardless of symptoms. |
ADo the peak flow meter assessment in the morning, before you take your medications. BPerform one assessment (3 readings) per day and record the highest number of the assessment in a log book.
DCoughing during the assessment invalidates the reading. EIf the value recorded is less than 150, she should go to the hospital immediately, regardless of symptoms. |
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Carla is an eleven year-old girl with asthma. The physician wants to give her montelukast, but is not sure of the correct dose. Choose the correct dose of montelukast for an eleven year-old child: Answer AA 5 mg chewable tablet taken once daily in the evening. BA 5 mg chewable tablet taken BID. CA 10 mg chewable tablet taken once daily in the evening. DA 10 mg chewable tablet taken BID. EA 4 mg packet of granules mixed with milk taken in the morning. |
AA 5 mg chewable tablet taken once daily in the evening. |
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A 42 year-old female patient has been diagnosed with asthma. She only likes taking medication that comes in a pill for easy administration. Which of the following routes is preferred for drug therapy when treating asthma? Answer AOral BBuccal CIntravenous DPatch EInhaled |
EInhaled |
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Caleb is a 16 year-old teenager who has asthma and his only medication is Ventolin. He has been using his Ventolin inhaler for acute symptoms. When asked how many times he has used his Ventolin, he states he used it twice on Sunday, 1 time on Tuesday and 1 time on Wednesday. It is now Thursday. What would be appropriate recommendations to make at this time? (Select ALL that apply.) Answer ATake Ventolin 2 puffs Q4-6H starting today. BStart him on a Serevent Diskus 1 inhalation BID for better symptom control. CContinue to take the Ventolin PRN for acute symptoms. DStart him on Pulmicort Flexhaler 2 inhalations BID for better symptom control. EStart him on Singulair 10 mg QHS. |
CContinue to take the Ventolin PRN for acute symptoms. DStart him on Pulmicort Flexhaler 2 inhalations BID for better symptom control. |
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A patient has been prescribed mometasone for asthma. What is the brand name of mometasone when used for asthma? Answer AQVAR BNasonex CAerospan DAlvesco EAsmanex
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EAsmanex |
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Which of the following statements are correct regarding Pulmicort Respules? (Select ALL that apply.) Answer APulmicort respules are given via nebulization. BThe generic is budesonide. CPulmicort respules need to be administered with 8 oz of water DPulmicort respules can be used as first-line therapy. EPulmicort respules need to be refrigerated.
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APulmicort respules are given via nebulization. BThe generic is budesonide.
DPulmicort respules can be used as first-line therapy. |
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Which of the following steroids has the greatest antiinflammatory potency? Answer AFludrocortisone BPrednisone CBetamethasone DTriamcinolone ECortisone |
CBetamethasone |
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Which of the following are possible side effects from the use of an albuterol HFA inhaler? (Select ALL that apply.) Answer ANervousness, tremor, and palpitations BHyperkalemia CHypoglycemia DBradycardia EThroat dryness or irriitation, cough |
ANervousness, tremor, and palpitations
EThroat dryness or irriitation, cough |
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Raffi is a pharmacist in a busy store. Cheryl is a mother who came in with her eight year old daughter. The child had a new prescription for an albuterol inhaler. Raffi quickly instructed the mother how to use the MDI. When the mother got home, she had no idea how to instruct her daughter properly. The child, like many patients, had poor technique and did not obtain proper relief from the medicine. What is the most important thing that Raffi should have done to ensure that the parent and child understood how to use the inhaler? Answer AHave the mother repeat back the instructions to him in a slow and deliberate manner. BThe pharmacist should have repeated the instructions twice and asked the mother if she understood everything that was explained. CThe pharmacist should have given the mother written instructions. DThe pharmacist should have demonstrated how to use the inhaler and then watched the patient demonstrate proper technique. EThe pharmacist should have had the technician, who may have had more time, demonstrate proper technique to the mother.
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DThe pharmacist should have demonstrated how to use the inhaler and then watched the patient demonstrate proper technique. |
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Which of the following medications can decrease theophylline levels? (Select ALL that apply.) Answer AAllopurinol BCitalopram CCarbamazepine DPrimidone EQuinidine |
CCarbamazepine DPrimidone |
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What is the correct dose of Advair HFA? Answer A1 inhalation once daily. B1 inhalation BID. C2 inhalations once daily. D2 inhalations BID. ETake PRN. |
D2 inhalations BID. |
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Cassandra is a 17 year-old with asthma. She likes to play basketball. Before heading to the court, Cassandra needs to use her albuterol inhaler to help prevent exercise-induced symptoms. Choose the correct statement regarding albuterol: Answer AHFA inhalers are damaging to the ozone. BAlbuterol is a beta-2 antagonist and is preferred treatment for exercise-induced symptoms. CAlbuterol dosing for exercise-induced bronchospasm is 2 inhalations taken 5-30 minutes prior to exercise. DShe should be using an inhaled corticosteroid for prevention of exercise-induced symptoms. EOnly an inhaled formulation of albuterol is available in the U.S. |
CAlbuterol dosing for exercise-induced bronchospasm is 2 inhalations taken 5-30 minutes prior to exercise. |
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A patient is started on the Advair Diskus. Which of the following statements are correct regarding Advair Diskus? (SelectALL that apply.) Answer AThis medication comes with a dose counter. BAdvair Diskus is dosed 2 inhalations BID. CThe dose of the corticosteroid stays the same while the dose of the beta-2 agonist varies in the different product strengths. DThis medication should not be used with a spacer device. EAlways use the Diskus in a level, flat position. |
AThis medication comes with a dose counter.
DThis medication should not be used with a spacer device. EAlways use the Diskus in a level, flat position. |
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A patient has been prescribed fluticasone for asthma. What is the brand name of fluticasone when used for asthma? Answer AAerospan BFlonase CFlomax DFlovent EPulmicort |
DFlovent |
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Which of the following medications come as dry powder inhalers? (Select ALL that apply.) Answer ASpiriva BXopenex CAccuneb DQVAR EAsmanex
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ASpiriva
EAsmanex |
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A patient has developed oral thrush. Which medication is most likely to have contributed to this condition? Answer AQVAR BSingulair CXopenex DSpiriva EZyflo |
AQVAR |
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What is the mechanism of action of Theo-24? Answer ABinds to beta-2 receptors and causes relaxation of bronchial smooth muscle BBlocks phosphodiesterase, increasing cAMP and releasing epinephrine from the adrenal cells CDepresses migration of polymorphonuclear leukocytes and inhibits inflammation DInhibits the enzyme 5-lipoxygenase EMonoclonal antibody that inhibits IgE binding on mast cells and basophils |
BBlocks phosphodiesterase, increasing cAMP and releasing epinephrine from the adrenal cells |
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Which of the following medications can increase theophylline levels and possibly result in theophylline toxicity? (Select ALLthat apply.) Answer ACiprofloxacin BBupropion CZafirlukast DRanitidine EClarithromycin |
ACiprofloxacin
CZafirlukast
EClarithromycin |
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Which of the following medications are brand names of prednisolone? (Select ALL that apply.) Answer ASolu-Cortef BMillipred CPrelone DKenalog EOrapred |
BMillipred CPrelone
EOrapred |
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A 12 year-old male patient has a new prescription for QVAR HFA. Previously, the patient had been using only an albuterol inhaler. He has been using the albuterol inhaler 3-4 times per week. Choose the correct statement: Answer AThis is inappropriate; QVAR HFA is used only for patients needing high dose ICS therapy. BThis is inappropriate; QVAR HFA should not be used in children due to growth retardation. CThis is inappropriate; QVAR HFA is in the same drug class as albuterol. DThis is inappropriate; this patient is having an asthma exacerbation and should go to the hospital. EThis is appropriate; QVAR HFA is considered a first line agent per the asthma guidelines. |
EThis is appropriate; QVAR HFA is considered a first line agent per the asthma guidelines. |
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A patient with severe, persistent asthma has been using prednisone 10-20 mg daily for at least three years. Which side effects are likely to be due to long-term prednisione use? (Select ALL that apply.) Answer AReduced bone density and possible osteoporosis BElevated blood glucose and possible diabetes CPoor wound healing DAnorexia EHearing loss |
AReduced bone density and possible osteoporosis BElevated blood glucose and possible diabetes CPoor wound healing |
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A patient with severe, persistent asthma has had an acute exacerbation. The physician has prescribed a short course of oral prednisone. Choose the correct statement: Answer APatients with severe asthma should always use inhaled, not oral steroids. BOral steroids can cause many problems, including lowered blood glucose. CPrednisone is a prodrug of prednisolone. DA brand name is Medrol. EOral steroids reduce appetite and cause anorexia. |
CPrednisone is a prodrug of prednisolone. |
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A patient with asthma has been prescribed the Advair Diskus. Which of the following statements is correct? Answer AAdvair contains fluticasone, a long-acting beta-2 agonist. BAdvair contains salmeterol, an inhaled corticosteroid. CAdvair Diskus is dosed 1 inhalation once daily. DAdvair treats both airway constriction and inflammation. EAdvair Diskus must be used within 2 months of opening the foil pouch. |
DAdvair treats both airway constriction and inflammation. |
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A patient has been prescribed beclomethasone for asthma. What is the brand name of beclomethasone when used for asthma? Answer ABeconase BVancenase CAsmanex DQVAR ENasonex |
DQVAR |
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Pulmicort Respules are used primarily in this population group: Answer ASeniors BAdults between 50 and 70 years old CChildren DPatients who have failed theophylline EPatients who have failed luekotriene modifying agents |
CChildren |
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Which of the following are correct statements regarding Asthmanefrin? (Select ALL that apply.) Answer AThis medication contains the R-isomer of epinephrine. BThis medication is available OTC. CThis medication is not preferred in patients with asthma. DThis medication can cause more thrush than others on the market. EThis medication is preferred in patients with cardiac disease.
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BThis medication is available OTC. CThis medication is not preferred in patients with asthma. |
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Jason is well-controlled on his asthma medications which include Flovent HFA 220 mcg BID, Foradil 1 capsule BID, andProventil HFA PRN symptoms. He is picking up his refills and asks if anything can help with his sore throat. When inspected, the pharmacist recognizes the throat is sore due to thrush. What are some counseling points the pharmacist can provide that will help reduce Jason's thrush? (Select ALL that apply.) Answer AJason should drink 8 oz of water after taking his medications. BJason should gargle with warm warm and spit out the rinse after using his medications. CJason should purchase a spacer device and use with his Foradil. DJason should purchase a spacer device and use with his Flovent HFA. EJason should not kiss others as this infection is contagious.
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BJason should gargle with warm warm and spit out the rinse after using his medications.
DJason should purchase a spacer device and use with his Flovent HFA. |
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A patient with moderate asthma enters the pharmacy and asks for your recommendation for headache pain. Choose the safest option: Answer AAcetaminophen BIbuprofen CNaproxen DCapsaicin cream EFlector patch |
AAcetaminophen |
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Which of the following medication classes has a warning that the use of the drug may increase the risk of asthma-related deaths? Answer ALong-acting beta-2 agonists BLeukotriene modifiers CTheophylline DShort-acting beta-2 agonists EInhaled corticosteroids |
ALong-acting beta-2 agonists |
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Sammy is a 4 year-old patient with moderate asthma. He has been poorly controlled on an albuterol inhaler and a low-dose inhaled corticosteroid. The physician wants to add a leukotriene modifier to Sammy's regimen. Which agent can be recommended? Answer AZileuton BTheophylline CIndacaterol DZafirlukast EMontelukast |
EMontelukast |
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JS is being treated in the hospital for an acute asthma exacerbation with dexamethasone 3 mg IV BID. The physician would like to transition this patient to an equipotent dose of prednisone. What is the equipotent dose of prednisone? Answer A60 mg B50 mg C40 mg D30 mg E66.7 mg |
C40 mg |
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A 55 year-old male patient has continuous asthma symptoms, even with high dose inhaled corticosteroid therapy. He also has NYHA Class III heart failure. The physician will initiate theophylline. Choose the correct statements: (Select ALL that apply.) Answer ATheophylline serum concentration levels will need to be monitored. BThe patient will have to limit the amount of protein in his diet. CThe therapeutic range of theophylline is 2-10 mcg/mL. DSigns of theophylline toxicity include vomiting, ventricular tachycardias, and seizures. EThe patient will require a lower dose of theophylline than most due to his heart failure. |
ATheophylline serum concentration levels will need to be monitored.
DSigns of theophylline toxicity include vomiting, ventricular tachycardias, and seizures. EThe patient will require a lower dose of theophylline than most due to his heart failure. |
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Counseling points on the use of the Foradil should include the following: (Select ALL that apply.) Answer AThe capsules should be swallowed whole; do not crush or chew the caspule. BLeave the capsule sealed in the foil until just before use. CThis medication can be used to treat an acute attack. DRarely, serious asthma-related breathing problems have occurred with the use of this medication. EThis medication is dosed twice daily. |
BLeave the capsule sealed in the foil until just before use.
DRarely, serious asthma-related breathing problems have occurred with the use of this medication. EThis medication is dosed twice daily. |
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Which of the following statements concerning omalizumab is correct? Answer AOmalizumab is a mast-cell stabilizer. BOmalizumab can be used as initial therapy in patients who have allergies & severe, persistent asthma. COmalizumab can cause anaphylaxis. DOmalizumab can be administered at home in a nebulizer if an adult or parent has received training. EOmalizumab is dosed based on IgG levels and body weight. |
COmalizumab can cause anaphylaxis. |
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Alexa is a 17 year-old patient with moderate asthma. The physician is considering adding zileuton. Unlike the other agents in its class, zileuton has a risk for which of the following toxicities? Answer AHypersensitivity reactions, with trouble breathing BHepatotoxicity CAcute renal failure DDemyelinating disease EHemolytic anemia
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BHepatotoxicity |
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A patient is starting on Singulair. What are the possible side effects of Singulair? (Select ALL that apply.) Answer ASinusitis BUpper respiratory infection CBleeding DTachycardia EBehavior and mood changes
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ASinusitis BUpper respiratory infection
EBehavior and mood changes |
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Johnny is prescribed Advair Diskus for his asthma. Which of the following counseling points should be reviewed with Johnny about his Advair Diskus medication? (Select ALL that apply.) Answer AWash the Diskus with a wet cloth weekly. BIf you do not feel or taste the medication, take another dose. CThis is not a rescue medication for acute asthma attacks. DRinse your mouth with water after your dose of medication. ENever breathe into the Diskus. |
CThis is not a rescue medication for acute asthma attacks. DRinse your mouth with water after your dose of medication. ENever breathe into the Diskus. |
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Natalie is a 12 year-old with asthma. She uses Flovent. She has no other medications and has not had any asthma symptoms since she started Flovent two years ago. Natalie is wondering if she still needs an albuterol inhaler for her asthma. The pharmacist should respond: Answer AYes; all patients with asthma should have a short-acting beta-2 agonist. BNo; she has not had any acute symptoms for at least 12 months. CNo; she has not had any acute symptoms for at least 18 months. DNo; she has not had any acute symptoms for at least 24 months. ENo; she should have a long-acting beta-2 agonist for rescue symptoms.
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AYes; all patients with asthma should have a short-acting beta-2 agonist. |
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What are the ingredients in Symbicort? Answer ASalmeterol + fluticasone BFormoterol + fluticasone CSalmeterol + beclomethasone DFormoterol + budesonide EMometasone + formoterol |
DFormoterol + budesonide |
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A patient with severe, persistent asthma has had an acute exacerbation. The physician has prescribed a short course of oral prednisone. Short-term side effects that can occur from the use of oral steroids include: (Select ALL that apply.) Answer APeptic ulcers BCushingoid symptoms CElevated blood sugar DIrritable or anxious behavior EDermal thinning |
CElevated blood sugar DIrritable or anxious behavior |
