COPD or Asthma?
Pharmacotherapy
Asthma Severity (12+)
GOLD Guidelines
Name that Drug Class
100

Onset typically < 40 yrs of age. 

What is asthma? 

100

Adverse effect of inhaled corticosteroids - prevention includes rinsing mouth after use and using a spacer.   

What is thrush/oral candidiasis? 
100

Symptoms occur throughout the day. 

What is severe persistent? 

100

This is a critical component of COPD management for patients who are actively using tobacco.

What is smoking cessation? 

100

Albuterol

What is a short-acting beta agonist? 
200

FEV1 is irreversible.

What is COPD?

200

Antibiotic for COPD that has both anti-inflammatory and antibacterial actions, but poses QTc prolongation risk. 

What is azithromycin? 

200

SABA use is less than 2 days per week. 

What is intermittent? 

200

This drug class is not recommended as monotherapy in stable COPD. 

What is inhaled corticosteroids?

200

Fluticasone 

What is an inhaled corticosteroid?
300

Patients have a common history of smoking or exposure to other irritants. 

What is COPD? 

300

In 2020, the FDA added a black box warning for this medication because of the risk of neuropsychiatric events.

What is montelukast (Singulair)?

300

FEV1 is between 60% to 80% of normal. 

What is moderate persistent? 

300
This therapy route is preferred due to less systemic exposure. 
What is inhaled therapy?
300

Tiotropium

What is a long-acting muscarinic agent? 

400

Bronchodilator provides limited relief. 

What is COPD? 

400

Primary mechanism of bronchodilators in COPD.

What is changes to smooth muscle tone that result in airway widening? 

400

Frequency of symptoms is > 2 days per week, but not daily. 

What is mild persistent? 
400

Patient group with few symptoms, no hospitalizations, and 1 or fewer exacerbations in the past year. 

What is patient group A?

400

Fluticasone furoate/vilanterol

What is a combination inhaled corticosteroid and a long-acting beta agonist? 

500

Cough is typically worse at night and early in the morning. 

What is asthma? 

500

This monoclonal antibody/IgE-binding inhibitor can be used in moderate to severe persistent allergy related asthma. 

What is Xolair (omalizumab)? 

500

Nighttime awakening is more than once weekly but not nightly. 

What is moderate persistent? 

500

Recommended initial treatment for patient group B. 

LABA + LAMA

500

Montelukast

What is a leukotriene receptor agonist?