Inhaler Technique

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| By Walminator

Walminator

Community Contributor

Quizzes Created: 2 | Total Attempts: 2,919

Questions: 10 | Attempts: 1,660 | Updated: Aug 21, 2023

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This Short test of 10 questions will be similar to the questions that will appear in your exams. This will test the level of knowledge you have acquired from watching the video. If there are any areas you are not sure of or perform badly in it is important you revist them.
Remember-the best way to retain clinical knowledge is to go out onto the wards and experience and apply it in reality and under supervision.

Questions and Answers

1.

Which of the following is/are not a correct combination?
- A.
  
  Salbutamol-blue MDI inhaler
- B.
  
  Ipratropium Bromide-turbuhaler
- C.
  
  Tiotropium Bromide-white MDI inhaler
- D.
  
  Budesonide-white MDI inhaler
- E.
  
  Ipratropium bromide-Handihaler
Correct Answer(s)
B. Ipratropium Bromide-turbuhaler
C. Tiotropium Bromide-white MDI inhaler
E. Ipratropium bromide-Handihaler

Explanation
Ipratropium Bromide is currently only administered by a white MDI
Tiotropium Bromide is currently only administered by a Handihaler

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2.

Which of these is/are correct?
- A.
  
  Aerochamber whistles when used correctly
- B.
  
  Turbuhaler whistles when used correctly
- C.
  
  Handihaler whirls when used correctly
- D.
  
  Volumatic valve makes no sound
- E.
  
  MDI hums when used incorrectly
Correct Answer
C. Handihaler whirls when used correctly

Explanation
The aerochamber whistles when inspiration is too strong
The turbuhaler does not whistle but the red replica does. This is used prior to prescription to determine if the patient's has adequate strength of inhalation.
The handihaler whirls when inhalation strength is correct.
The volumatic spacer valve should click on each inhalation and exhalation
The MDI has no sound in-built to indicate incorrect use

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3.

Which of the following does not require a single intake of breath
- A.
  
  Metered dose inhaler
- B.
  
  Metered dose inhaler with volumatic spacer
- C.
  
  Turbuhaler
- D.
  
  Accuhaler
- E.
  
  Handihaler
Correct Answer(s)
B. Metered dose inhaler with volumatic spacer
E. Handihaler

Explanation
The volumatic spacer requires tidal breathing of at least 5 breaths for the whole dose to be inhaled.
You can repeat breaths with a handihaler until all of the drug has been inhaled-useful for those with severe COPD.

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1
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4.

The Accuhaler can contain the following:
- A.
  
  Fluticasone Proprionate
- B.
  
  Salbutamol
- C.
  
  Budesonide
- D.
  
  Salmeterol
- E.
  
  Tiotropium Bromide
Correct Answer(s)
A. Fluticasone Proprionate
D. Salmeterol

Explanation
Refer to the table of medications and associated inhalers.

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5.

The following is not common problems with all inhalers:
- A.
  
  Candida Infection
- B.
  
  Hoarseness of breath
- C.
  
  Insufficient inspiratory flow rate/strength to adequately inhale drug
- D.
  
  Throat irritation and soreness
- E.
  
  Difficulty using in patients with hand disorders
Correct Answer
A. Candida Infection

Explanation
Candida infection risk is only increased when using steroid based inhalers
Hoarseness of breath and throat irritation and soreness can occur with all inhaled medications
Some inhalers require less inspiratory strength than others (e.g. Handihaler) but there are still cases of patients being unable to use inhalers.
Some inhalers are simpler to use thant others (MDI simpler than Accuhaler) but all can prove difficult to use in the very elderly/young/those with hand disorders.

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6.

Which of the following are breath actuated?
- A.
  
  Turbuhaler
- B.
  
  Metered Dose Inhaler
- C.
  
  Handihaler
- D.
  
  Accuhaler
- E.
  
  Noe of the above
Correct Answer(s)
A. Turbuhaler
C. Handihaler
D. Accuhaler

Explanation
The Turbuhaler, Handihaler and Accuhaler all require the draw from inspiration to expel their medication.
The MDI expels its medication by a pressure induced propulsion of a vapour containg the drug.

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7.

Which of these is/are not a correct combination?
- A.
  
  Blue MDI-short acting beta agonist
- B.
  
  Green MDI-anticholinergic
- C.
  
  Red MDI-Corticosteroid
- D.
  
  Handihaler-anticholinergic
- E.
  
  Handihaler-corticosteroid
Correct Answer
E. Handihaler-corticosteroid

Explanation
The Handihaler administers Tiotropium Bromide-an anticholinergic not a corticosteroid.

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8.

Which of the following is/are not true of the volumatic spacer device?
- A.
  
  Reduces deposition of inhaled drug in the mouth
- B.
  
  Allows drug to be inhaled in more than one breath
- C.
  
  Allows an MDI to be used by people with poor coordination
- D.
  
  Whistles when individual inhales with too great a force
- E.
  
  Have a tendency to build up static which reduces the amount of drug inhaled from the spacer.
Correct Answer
D. Whistles when individual inhales with too great a force

Explanation
The only noise the volumatic makes is a clicking from the valve on inhalation and exhalation.
The aerochamber whistles with incorrect use.

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9.

Which of the following inhaler and treated condition combination is incorrect?
- A.
  
  Blue MDI-asthma acute symptoms relief
- B.
  
  Accuhaler-COPD
- C.
  
  Handihaler-asthma prophylaxis
- D.
  
  Turbuhaler-asthma prophylaxis
- E.
  
  White MDI-COPD
Correct Answer
C. Handihaler-asthma prophylaxis

Explanation
The Handihaler is used to treat COPD

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10.

A 5 year old child in your practice has been diagnosed with Asthma. Which type of inhaler would be best for him?
- A.
  
  A salbutamol MDI with a spacer device
- B.
  
  A salbutamol MDI with no spacer required
- C.
  
  A Handihaler
- D.
  
  A Budesonide Turbuhaler
- E.
  
  A Formoterol Turbuhaler
Correct Answer
B. A salbutamol MDI with no spacer required

Explanation
Young children often have poor coordination yet the MDI is often the most effectve of the inhalers at depositing the medication in the lung peripheries. Salbutamol is a short acting beta agonist used to treat acute symptoms of an exacerbation of asthma. Therefore a salbutaml MDI is the first medication this child will require but with a spacer device which will ensure he is able to inhale the entire dose despite having poor coordination.

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Current Version
Aug 21, 2023

Quiz Edited by
ProProfs Editorial Team
Jul 27, 2011

Quiz Created by
Walminator

Inhaler Technique

Which of the following is/are not a correct combination?

Which of these is/are correct?

Which of the following does not require a single intake of breath

The Accuhaler can contain the following:

The following is not common problems with all inhalers:

Which of the following are breath actuated?

Which of these is/are not a correct combination?

Which of the following is/are not true of the volumatic spacer device?

Which of the following inhaler and treated condition combination is incorrect?

A 5 year old child in your practice has been diagnosed with Asthma. Which type of inhaler would be best for him?