Pulmonary Jeopardy

Name that Brand

100

This inhaler contains aclindinium

Tudorza PressAir

200

This inhaler contains arformoterol

Brovana

300

This inhaler contains budesonide, formoterol, and glycopyrrolate

Breztri Aerosphere

400

This inhaler contains tiotropium and olodaterol

Stiolto

500

This inhaler contains mometasone

Asmanex Twisthaler/HFA

Name that Device

100

Flovent Diskus is what type of inhaler?

A. DPI

B. MDI

C. Soft mist

D. Nebulizer

A. DPI

200

Dulera is what type of inhaler?

A. DPI

B. MDI

C. Soft Mist

D. Nebulizer

MDI

300

Trelegy Ellipta is what type of inhaler?

A. DPI

B. MDI

C. Soft Mist

D. Nebulizer

A. DPI

400

Brovana is what type of inhaler?

A. DPI

B. MDI

C. Soft Mist

D. Nebulizer

D. Nebulizer

500

Bevespi Aerosphere is what type of inhaler?

A. DPI

B. MDI

C. Soft Mist

D. Nebulizer

B. MDI

Therapeutics

100

These 2 inhalers are approved by the GINA guidelines as maintenance inhalers for asthma

Symbicort (budesonide/formoterol)

Dulera (mometasone/formoterol)

200

A patient's post-bronchodilator FEV is 60%. What is their COPD severity?

Moderate

300

DC is a 64 yo male with a new COPD diagnosis. He has not had an exacerbation previously and his mMRC score is 1. What initial treatment do you recommend for DC?

Answer can be any of the following:

SAMA,SABA,LABA,LAMA monotherapy 

400

A patient is currently on Anoro Ellipta. Their eosinophils are 58 cells/uL. They continue to have exacerbations despite proper inhaler technique and adherence. Because the patient is an active smoker, what would be the most beneficial add on therapy for this patient? 

Roflumilast (Daliresp)

500

JS is a 55 yo female with a PMH of COPD. They present to the Dr.'s office for an exacerbation of COPD. She reports symptoms of dyspnea and increased sputum volume. She uses a Tudorza Pressair 1 inhalation twice daily. Her O2 sats are 98% on room air. State your pharmacologic treatment plan for JS. (don't forget duration of treatments)

SABA (albuterol) or SAMA (atrovent) or SABA/SAMA (combivent) 1-2 puffs q1h for 2 to 3 doses then every 2-4 hours based on response

Prednisone (or equivalent) 40mg PO daily for 5 days

Counseling

100

This type of inhaler requires a slow and steady breath for proper medication delivery.

MDI

200

When using this inhaler, you should breathe in quickly and deeply to activate the device.

DPI

300

This device is often used with MDIs to make inhalation easier and more effective, especially in children

A spacer

400

Patients should rinse their mouth and spit after using this class of inhalers

Inhaled Corticosteroids (ICS)

500

The patient should not exhale into this type of inhaler, or it could affect the dose delivery.

DPI

Pharm Category

100

What is the pharmacologic category of Stiolto Respimat?

LABA/LAMA

200

What is the pharmacologic category of Umeclidinium?

LAMA

300

What is the pharmacologic category of Striverdi Respimat?

LABA

400

What is the pharmacologic category of Breztri Aerosphere?

LABA/LAMA/ICS

500

What is the pharmacologic category of Atrovent HFA?

SAMA