Category 1
Layers make up the mucosal blanket that covers the airways. Is it...
A. Gel and Sol
B. Mucus glands and goblet cells
C. Alveolar type I and II cells
D. Clara cells and cilia
What is " A. Gel and Sol"?
A patient experiences an asthma attack as a result of exposure to cats, the asthma would be categorized as which of the following... A. Intrinsic B. Extrinsic C. Autoimmune D. Intangible
What is " B. Extrinsic"?
Which of the following does not appropriately describe Cromolyn sodium...
A. Bronchodilator B. Mast cell stabilizer
C. Controller drug D. Anti-inflammatory
What is " A. Bronchodilator "?
Which of the following occur during an asthma attack... A. Bronchospasm B. Increased secretions
C. Mucosal edema D. All of the these
What is" D. All of these"?
Long-acting B2 agonists are indicated for:
A. mucus reduction B. treating infections
C. maintenance therapy for asthmatics
D. acute asthma attacks
What is "C. maintenance therapy for asthmatics"?
Corticosteroids are described as which of the following...
A. Bronchodilators
B. Smooth muscle dilators
C. Anti-inflammatory agents
D. Lipid soluble agents
What is " C. Anti-inflammatory agents"?
Side effects of aerosolized Mucomyst may include:
A. Bronchospasm, acute airway obstruction, and nausea
B. Bronchodilation, oropharyngeal irritation, and acute airway obstruction
C. Fluid overload, bronchospasm, and oropharyngeal irritation
D. Liver damage, bronchospasm, and corrosion of metal dental work
What is " A. Bronchospasm, acute airway obstruction, and nausea"?
Aerosol therapy via ultrasonic nebulization has been ordered for the purpose of sputum induction. The patient has thick, copious secretions with frequent mucous plugging. Given that the patient is also asthmatic, what modification of the order should the CRT recommend?
A. Continue with the ultrasonic order
B. Add Mucomyst to the ultrasonic nebulizer
C. Add a bronchodilator to the ultrasonic nebulizer
D. Use a small-volume nebulizer with a bronchodilator and Mucomyst
What is " D. Use a small-volume nebulizer with a bronchodilator and Mucomyst"?
Relaxation of smooth airway muscle in the presence of reversible airflow obstruction is a general indication for the use of....
A. Adrenergic bronchodilators
B. Anti-infective agents
C. Steroids D. Mucolytics
What is " A. Adrenergic bronchodilators"?
Smooth muscle relaxation most likely occurs as a result of:
A. an increase in intracellular cAMP
B. an increase in ATP
C. a decrease in ATP
D. a decrease in intracellular cAMP
What is "A. an increase in intracellular cAMP"?
All BUT WHICH of the following are complications that may occur with the use of exogenous surfactant....
A. Desaturation
B. Tachycardia
C. Hyperoxygenation
D. Overventilation
What is " B Tachycardia"?
The following should be stressed when instructing a new patient in the use of aerosolized steroids...
A. Use the MDI steroids only when symptoms are severe
B. Taper steroid use gradually under a physician’s supervision
C. Adjust dosage and frequency according to how it “feels”
D. Alternate MDI steroids with other anti-asthmatic drugs
What is "B. Taper steroid use gradually under a physician’s supervision"?
An asthmatic patient is about to be discharged from the hospital. What information must the CRT give the patient before the patient leaves the hospital...
A. How to avoid asthma triggers
B. How to use metered-dose inhalers (MDI)
C. How to determine which peak flow meter test is best
D. All of the above
What is " D. All of them"?
Disease states that could benefit from the use of adrenergic bronchodilators include which of the following? I. Asthma II. Bronchitis III. Emphysema IV. Bronchiectasis V. Pleural effusion
A. II, IV, and V only
B. I, II, III, and IV only
C. I, II, III, IV, and V
D. I and III only
What is "B. I, II, III, and IV only "?
Continuous nebulization of inhaled B agonists has been used for: A. pneumonia B. cystic fibrosis C. emphysema D. severe asthma
What is " D. severe asthma"?
The following disease are characterized by hypersecretion of mucus...
Select all that apply. A. Chronic bronchitis C. Asthma D. Cystic fibrosis D. All of them
What is " D. All of them"?
Administering corticosteroids by the aerosol route, a local side effect to monitor includes:
A. Appearance of nasal polyps B. Tachycardia
C. Appearance of thrush D. HPA suppression
What is "Appearance of thrush"?
Acetylcysteine may be delivered by which of the following routes....
A. Oral B. Aerosol
C. Topical (direct instillation) D. All of the above
What is " D. All of the above"?
Short-acting B2 agonists are indicated for:
A. relief of acute reversible airflow obstruction
B. maintenance of bronchodilation
C. thinning of secretions
D. reduction of airway edema
What is "A. relief of acute reversible airflow obstruction"?
The only anticholinergic that is approved by the FDA for aerosolization is:
A. albuterol sulfate B. glycopyrrolate
C. atropine D. ipratropium bromide
What is " D. ipratropium bromide"?
The same patient using combination Steroid and Bronchodilator is discharged from a hospital. The patient is sent home with orders for both Azmacort and Proventil MDIs. The most critical point that the patient should understand... A. That use of the MDIs may elicit a cough B. That Proventil is also available in a nebulization solution C. That Azmacort is a controller and not to be used during an acute attack D. That Azmacort should be discontinued after wheezing stops
What is " C. That Azmacort is a controller and not to be used during an acute attack"?
Cromolyn sodium accomplishes which of the following? A. Stabilizes leukotrienes B. Stabilizes white blood cells C. Prevents histamine release D. Prevents eosinophil degranulation
What is "C. Prevents histamine release"?
All but which of the following slow the rate of mucociliary transport...
A. Cigarette smoking B. Beta agonists
C. COPD D. Hypoxia
What is " B. Beta agonists"?
You enter the room of a 2-year-old patient who presents with the characteristic “barking cough” found with croup. Once the diagnosis is confirmed, you may recommend which of the following medications to help provide relief from subglottic swelling...
A. terbutaline B. racemic epinephrine C. salmeterol D. albuterol
What is "B. racemic epinephrine"?
Atrovent is approved for:
A. thinning of dried secretions
B. acute bronchoconstriction
C. maintenance treatment of airflow obstruction in COPD
What is " C. maintenance treatment of airflow obstruction in COPD"?
Combivent is a combination drug including which agents?
A. serevent and atrovent B. albuterol and atrovent
C. maxair and atrovent D. albuterol and serevent
What is " B. albuterol and atrovent"?
Activating an Atrovent inhaler in the eye may cause:
A. pupil dilation B. pupil constriction
C. scarring of the cornea D. blindness
What is " A. pupil dilation"?
Drugs that competitively block the action of acetylcholine at parasympathetic postganglionic effector cell receptors are called:
A. adrenergic agents B. antimuscarinic agents
C. cholinergic agents D. muscarinic agents
What is " B. antimuscarinic agents "?
Which of the following can be used to decrease the viscosity of secretions?
A. Acetylcysteine B. Dornase alfa
C. Normal saline D. All of the above
What is " D. All of the above"?
Which of the following reactions may occur when using aerosolized corticosteroids for a local effect?
A. Adult-onset diabetes B. Pulmonary aspergillosis
C. Oral fungal infections D. Delayed healing
What is " C. Oral fungal infections"?