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Asthma #1
Asthma #2
COPD #1
COPD #2
Mixed
100
what do the words SMART stand for?






Symbicort Maintenance and reliever therapy
100
Which asthma medication CAN intervene the EARLIEST when an asthmatic has a worsening ( daytime symptoms, waking up at night etc)
What is symbicort
100
What is the name of Astrazeneca's new LAMA, that competes with sprivia
What is tudorza
100
When is it appropriate to use ICS/LABA for the copd patient?
when the copd Paris moderate to severe

Experiencing 2 or more copd exacerbations in one year

100
This is the % of patients who have ACOS?
What is 20-30% These patients will require an inhaled steroid
200
According to the 2012 asthma guidelines how many ventolin inhalers should a well controlled asthmatic use in one year?
Less than one
200
This medication is the most rarely used by the patient during an asthma worsening, yet it is the medication that will blunt an exacerbation from happening.
What is ics
200
This is the only LAMA on the market that does not require renal function monitoring. This is because it does not get excreted through the kidney, but it is hydrolyzed in the blood.
What is Tudorza
200
in The pathos study what was the difference in copd hospitalizations with advair compared to Symbicort?
Symbicort reduced copd hospitalizations by 29% compared to advair
200
In asthma, Patients tend to use their ventolin when they start to become symptomatic, yet what they really need is an ics to tame the inflammation that is causing the symptoms. These are the three asthma products that Require a ventolin prescribed with them
What is Breo, Advair, zenhale
300
How many Symbicort inhalations can an asthma patient take in one day and for how long at that max dose?
8/7 days
300
Works as fast as ventolin, and therefore has a rescue indication
What is formoterol/oxeze /symbicort Tested vs ventolin in an emergency room setting. Average FEV1 was only 45%. ( Balanag study)
300
This inhaled steroid has shown a strong signal for pnuemonia in many of its trials. In head to head studies with another inhaled steroid, it was proven to have almost 50% MORE pnuemonia.
What is fluticasone ( Advair and Breo) Pathos study
300
a copd hospitalization is sometimes referred to as a lung attack. Why is that’s?
a Copd hospitalization is linked to similar mortality and morbidity as a heart attack

Within 1 year 25% die

Within 4 years 50 % die




300
It's Friday night and your asthma patient starts to wheeze from the smoke at a bar. They cough all night and find their symptoms worsening On Saturday. You would like them to have extra ics, but your office is closed until Monday. Which product(s) can the patient safely " take more of" to quickly start to calm the inflammation and get relief? Advair? Breo? Zenhale? Symbicort? Ventolin?
What is symbicort (SMART)
400
In the compass trial comparing Symbicort to advair which one reduced asthma exacerbations the most and by how much?



Symbicort reduced asthma exacerbations by 39% better than advair
400
This is why using ventolin during an asthma worsening is not the best thing to do
What is does not prevent an exacerbation. It only provides short term relief. It only brings relief for approx 4 hours. The patient actually needs in increase of ICS to settle down the inflammation, and prevent a SEVERE exacerbation. Also, If this inflammation continues, it causes permanent airway remodelling...ie fixed airway disease.
400
This is the laba/ics combination product that has been PROVEN to have less exacerbations in COPD than it's competitor.
What is symbicort. Pathos trial
400
In the pathos study there was a difference found in the rate of pneumonia comparing Symbicort to advair. Which one had less pneumonia?




Advair had an increase of 73% more pneumonia than Symbicort 
400
Copd exacerbations can be deadly. What % of Copd patients that have been hospitalized for an exacerbation, will be dead in 4 years.
What is 60%. ( higher mortality rate than some cancers)
500
in the compass trial how much more steroid was used in the Symbicort Smart arm compared to the advair arm?
25% less.
500
The number of days before an exacerbation, where the patient starts to feeling asthma symptoms or rescue use increasing. They may have daytime symptoms, restrict their activities, have nighttime symptoms, lose sleep etc.
What is 10-14 days Tattersfield study
500
The two LAMA's product monographs, that warn for patient monitoring due to impaired kidney function
What are spriva and seebri? Only one that doesn't....Tudorza
500
In the pathos study how did Symbicort and advair compared at reducing copd exacerbations?
Symbicort reduced copd exacerbations by 26%
500
Which is the least expensive treatment option for asthma patients?
What is symbicort smart $101 Symbicort + ventolin $107.25 Breo 100 + Breo 200 + ventolin =$300.25. $142+152+6.25 ( generic)