Pulmonary - Asthma - Quiz, Trivia & Questions

30 Questions | By Ashley_work_2002 | Updated: Feb 6, 2014 | Attempts: 148

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All items taken from Current 2014 starting on page 235 or from Lippincott starting on page 339

Questions and Answers

1.

Asthma essentials of diagnosis: (check all that apply)
- A.
  
  Episodic symptoms of airflow obstruction
- B.
  
  Airflow obstruction is reversible, either spontaneously or with bronchodilators
- C.
  
  Symptoms frequently better at night
- D.
  
  Prolonged expiration and diffuse wheezes
Correct Answer(s)
A. Episodic symptoms of airflow obstruction
B. Airflow obstruction is reversible, either spontaneously or with bronchodilators
D. Prolonged expiration and diffuse wheezes

Explanation
Current 2014 p 235
Symptoms are frequently worse at night or in early morning, not better.

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2.

Asthma is more common in males under 14 and in female adults.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
3.

Asthma deaths are higher in caucasians than in any other ethnic group.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Current 2014 p 235
Death rates from asthma are highest among blacks aged 15-24

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4.

The strongest identifiable predisposing factor for the development of asthma is:
- A.
  
  Atopy
- B.
  
  Obesity
- C.
  
  Smoking
- D.
  
  Age
Correct Answer
A. Atopy

Explanation
Obesity is increasingly recognized as a risk factor.

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5.

These can be triggers of asthma: (check all that apply)
- A.
  
  Exercise
- B.
  
  Exposure to cigarette smoke
- C.
  
  Cold air
- D.
  
  URI
- E.
  
  Certain times in the menstrual cycle
- F.
  
  Decompensated heart failure
Correct Answer(s)
A. Exercise
B. Exposure to cigarette smoke
C. Cold air
D. URI
E. Certain times in the menstrual cycle
F. Decompensated heart failure
6.

All patients should have a written asthma action plan that includes: 1. instructions for daily management 2. what to do in response to specific changes in status 3. how to recognize symptoms and patterns indicating inadequate control or need for additional therapy
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
7.

Inhaled corticosteroids:
- A.
  
  Control
- B.
  
  Relief
Correct Answer
A. Control
8.

Oral corticosteroids:
- A.
  
  Control
- B.
  
  Relief
Correct Answer
B. Relief

Explanation
1-2 weeks for severe exacerbations

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9.

Short-acting beta2-agonists:
- A.
  
  Relief
- B.
  
  Control
Correct Answer
A. Relief
10.

Long-acting beta2-agonists:
- A.
  
  Relief
- B.
  
  Control
Correct Answer
B. Control
11.

Anticholinergics:
- A.
  
  Relief
- B.
  
  Control
Correct Answer
A. Relief

Explanation
Current 2014 page 245
Works only on vagally-mediated bronchospasm, not allergen- or exercise-induced.

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12.

Phosphodiesterase inhibitors:
- A.
  
  Control
- B.
  
  Relief
Correct Answer
B. Relief
13.

Leukotriene antagonists:
- A.
  
  Control
- B.
  
  Relief
Correct Answer
A. Control

Explanation
Can be used for prophylaxis but are not effective in situations in which immediate bronchodilation is required.
Lippincott 344

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14.

Cromolyn:
- A.
  
  Relief
- B.
  
  Control
Correct Answer
B. Control

Explanation
Current 2014 p 244

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15.

Beclomethasone, fluticasone, triamcinolone, mometasone What drug class?
- A.
  
  Short-acting beta2-agonists
- B.
  
  Oral corticosteroids
- C.
  
  Inhaled corticosteroids
- D.
  
  Anticholinergics
Correct Answer
C. Inhaled corticosteroids
16.

Dexamethasone, prednisone, solumedrol What drug class?
- A.
  
  Oral corticosteroids
- B.
  
  Inhaled corticosteroids
- C.
  
  Anticholinergics
- D.
  
  Long-acting beta2-agonists
Correct Answer
A. Oral corticosteroids
17.

Cromolyn What drug class?
- A.
  
  Phosphodiesterase inhibitors
- B.
  
  Leukotriene antagonists
- C.
  
  Anticholinergics
- D.
  
  Mast cell stabilizers
Correct Answer
D. Mast cell stabilizers
18.

Albuterol, pirbuterol, terbutaline, levalbuterol, metaproterenol What drug class?
- A.
  
  Long-acting beta2-agonists
- B.
  
  Short-acting beta2-agonists
- C.
  
  Inhaled corticosteroids
- D.
  
  Anticholinergics
Correct Answer
B. Short-acting beta2-agonists
19.

Salmeterol, formoterol What drug class?
- A.
  
  Oral corticosteroids
- B.
  
  Anticholinergics
- C.
  
  Short-acting beta2-agonists
- D.
  
  Long-acting beta2-agonists
Correct Answer
D. Long-acting beta2-agonists
20.

Ipratropium, tiotropium What drug class?
- A.
  
  Anticholinergics
- B.
  
  Inhaled corticosteroids
- C.
  
  Short-acting beta2-agonists
- D.
  
  Long-acting beta2-agonists
Correct Answer
A. Anticholinergics
21.

Theophylline What drug class?
- A.
  
  Macrolide
- B.
  
  Leukotriene antagonists
- C.
  
  Phosphodiesterase inhibitor
- D.
  
  Anticholinergic
Correct Answer
C. Phosphodiesterase inhibitor
22.

Zafirlukast, montelukast, zileuton What drug class?
- A.
  
  Anticholinergics
- B.
  
  Oral corticosteroids
- C.
  
  Leukotriene antagonists
- D.
  
  Phosphodiesterase inhibitors
Correct Answer
C. Leukotriene antagonists
23.

These drugs work by bronchodilating or inhibiting bronchoconstriction. (check all that apply)
- A.
  
  Beclomethasone
- B.
  
  Cromolyn
- C.
  
  Ipratropium
- D.
  
  Theophylline
- E.
  
  Montelukast
- F.
  
  Albuterol
- G.
  
  Solumedrol
- H.
  
  Salmeterol
Correct Answer(s)
C. Ipratropium
D. Theophylline
F. Albuterol
H. Salmeterol
24.

These drugs work by reducing inflammation. (check all that apply)
- A.
  
  Fluticasone
- B.
  
  Cromolyn
- C.
  
  Tiotropium
- D.
  
  Theophylline
- E.
  
  Zileuton
- F.
  
  Terbutaline
- G.
  
  Dexamethasone
- H.
  
  Salmeterol
Correct Answer(s)
A. Fluticasone
B. Cromolyn
E. Zileuton
G. Dexamethasone
25.

All patients with asthma should be prescribed a quick relief inhaler (short-acting beta2-agonist).
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
26.

Long-acting beta2-agonists such as salmeterol can be used as monotherapy.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
LABAs are an adjunct to therapy, not monotherapy!

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27.

This drug is the mainstay of all long-term asthma therapy beyond the "intermittent" severity level.
- A.
  
  Anticholinergics
- B.
  
  Cromolyn
- C.
  
  Inhaled corticosteroids
- D.
  
  Oral corticosteroids
Correct Answer
C. Inhaled corticosteroids
28.

This bronchodilator used to be the mainstay of asthma therapy but it shouldn't be what you turn to first these days because of its narrow therapeutic window (requires monitoring), tons of side effects, and tons of drug interactions.
- A.
  
  Pirbuterol
- B.
  
  Formoterol
- C.
  
  Cromolyn
- D.
  
  Theophylline
Correct Answer
D. Theophylline

Quiz Review Timeline +

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Current Version
Feb 06, 2014

Quiz Edited by
ProProfs Editorial Team
Feb 06, 2014

Quiz Created by
Ashley_work_2002

Pulmonary - Asthma

Asthma essentials of diagnosis: (check all that apply)

Asthma is more common in males under 14 and in female adults.

Asthma deaths are higher in caucasians than in any other ethnic group.

The strongest identifiable predisposing factor for the development of asthma is:

These can be triggers of asthma: (check all that apply)

All patients should have a written asthma action plan that includes: 1. instructions for daily management 2. what to do in response to specific changes in status 3. how to recognize symptoms and patterns indicating inadequate control or need for additional therapy

Inhaled corticosteroids:

Oral corticosteroids:

Short-acting beta2-agonists:

Long-acting beta2-agonists:

Anticholinergics:

Phosphodiesterase inhibitors:

Leukotriene antagonists:

Cromolyn:

Beclomethasone, fluticasone, triamcinolone, mometasone What drug class?

Dexamethasone, prednisone, solumedrol What drug class?

Cromolyn What drug class?

Albuterol, pirbuterol, terbutaline, levalbuterol, metaproterenol What drug class?

Salmeterol, formoterol What drug class?

Ipratropium, tiotropium What drug class?

Theophylline What drug class?

Zafirlukast, montelukast, zileuton What drug class?

These drugs work by bronchodilating or inhibiting bronchoconstriction. (check all that apply)

These drugs work by reducing inflammation. (check all that apply)

All patients with asthma should be prescribed a quick relief inhaler (short-acting beta2-agonist).

Long-acting beta2-agonists such as salmeterol can be used as monotherapy.

This drug is the mainstay of all long-term asthma therapy beyond the "intermittent" severity level.

This bronchodilator used to be the mainstay of asthma therapy but it shouldn't be what you turn to first these days because of its narrow therapeutic window (requires monitoring), tons of side effects, and tons of drug interactions.