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Supplements and Featured PublicationsPreventive Medicine in Managed Care - Asthma Treatment Guidelines and Use of Inhalers
Volume 12
Issue 4 Prevent

Choose the 1 most correct answer.

1. Which of the following is a component of asthma?

  • Bronchial hyperresponsiveness
  • All the above

2. Asthma symptoms can be worsened by which of the following?

  • Animal dander
  • All the above

3. Which of the following are not recommended for the treatment of severe acute asthma exacerbations?

  • Intravenous fluids
  • Systemic corticosteroids

4. Which medication may enhance albuterol's effect on the vascular system?

  • Lipitor (atorvastatin)
  • Digoxin (lanoxin)

5. A patient has been newly diagnosed with mild-persistent asthma. What guideline-recommended treatment do you recommend?

  • Flunisolide 2000 µg
  • Fluticasone 600 µg

6. When counseling a patient about inhaled corticosteroids, it is important to tell them which of the following?

  • This medication is for relief from acute asthma exacerbations.
  • If the canister floats in water, the canister is empty.

7. Which of the following contributes to zafirlukast-induced hepatic toxicity?

  • Doses higher than recommended.
  • Long-term use.

8. When counseling a patient about theophylline, it is important to tell them which of the following?

  • Take this medication on an empty stomach.
  • Avoid taking this medication with a multivitamin.

9. Seizures can occur at normal levels of which medication?

  • Levalbuterol
  • Theophylline

10. When counseling a patient about inhaler use, it is important to tell them which of the following?

  • Use a bronchodilator inhaler 5 minutes before other inhaled medications.
  • All of the above.

11. Spacers should be cleaned weekly to avoid:

  • Medication overdose
  • Bacterial infections

12. Oropharyngeal deposition of inhaled corticosteroids can lead to:

  • Hoarseness
  • Hepatic toxicity

13. Which of the following components of hydrofluoroalkane (HFA) inhalers differs from chlorofluorocarbon (CFC) inhalers?

  • Propellant
  • All of the above

14. After which date are CFC albuterol inhalers no longer being produced, marketed, or sold in the United States?

  • December 31, 2007
  • April 15, 2008

15. According to the Orange Book, HFA albuterol and CFC albuterol products have a "BX" rating, meaning that:

  • If a patient requests a substitution, the pharmacist can dispense CFC products for HFA products.
  • HFA products can be substituted for CFC products only.

16. Which of the following would indicate that asthma has increased in severity classification?

  • Patient claims their inhaler does not work as well anymore.
  • Using short-acting beta2 agonists as needed before exercise.

17. Which statement is true regarding levalbuterol?

  • Time to discharge is shorter for patients treated with levalbuterol.
  • Levalbuterol is only available in nebulizer solution.

18. Despite using flunisolide 2 inhalations 3 times per day, a patient's asthma has increased in severity to moderate persistent. Which of the following is recommended?

  • Salmeterol 1 inhalation every 12 hours
  • Montelukast sodium 10 mg daily

19. When does paradoxical bronchospasm most commonly occur with short-acting beta2 agonists?

  • The first time a patient is exposed.
  • Use of an expired product.

20. Which of the following is true regarding inhaled corticosteroid and osteoporosis?

  • There is no correlation.
  • Discontinue inhaled corticosteroid after age 65 years.
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