21. In the emergency department, the preferred first-line therapy for asthma exacerbation is
(a) Theophyline
(b) A ß-agonist
(c) A corticosteroid
(d) Cromolyn sodium
(e) An antihistamine
Ans: B
22. Which of the following tests is used at home to assess therapy and determine if a patient with asthma should seek emergency care?
(a) Forced expiratory volume in one second (FEV1)
(b) Forced vital capacity (FVC)
(c) Total lung capacity (TLC)
(d) Peak expiratory flow rate (PEFR)
(e) Residual volume (RV)
Ans: D
23. Which of the following agents and dosage regimens is the best choice of treatment for an asthma patient with rheumatoid arthritis who is considered sensitive to aspirin (experiences bronchospasm with use)?
(a) Lbuprofen, 800 mg three times daily
(b) Acetaminophen, 650 mg every 4 hours
(c) Gold injections, 25 mg intramuscularly once a week
(d) Azathioprine, 75 mg daily
(e) Cyclophosphamide, 100 mg daily
Ans: C
24. A drug administered by inhalation of powder as a prophylactic for asthma is
(a) Ephedrine
(b) Disodium cromolyn
(c) Isoproterenol
(d) Ocytriphylline
(e) Epinephrine
Ans: B
25. Which of the following may precipitate an asthma attack?
(a) Respiratory acidosis
(b) Viran and bacterial infections
(c) Respiratory alkalosis
(d) Cranberry jiuce
(e) Chocolate or Coca Cola
Ans: B
26. Terbutaline has a preference for stimulation of which of the following receptors?
(a) Alpha
(b) Gamma
(c) Beta 1
(d) Beta 2
(e) Dopaminergic
Ans: D
27. The National Institutes of Health (NIH) guidelines for the treatment of asthma recommended institution of routine inhaled corticosteroids when patients are
classified as having greater than or equal to which type of asthma?
(a) Mild intermittent
(b) Mild persistent
(c) Moderate persistent
(d) Severe persistent
Ans: B
28. Isoxuprine is used to treat
(a) Asthma
(b) Severe hypotension
(c) Nasal congestion
(d) Premature labor
(e) Hypertension
Ans: D
29. The most likely complication of prolonged use of nasal decongestant drops is
(a) Atrophic rhinitis
(b) Hypertrophy of nasal mucosa
(c) Naso-pharyngeal moniliasis
(d) Blockage of Eustachian tubes
Ans: A
30. Which of the following is a selective H1 receptor agoinist ?
(a) 4-methyl histamine
(b) Impromidine
(c) 2-Thiazolyl ethylamine
(d) Mepyramine
Ans: C
(a) Theophyline
(b) A ß-agonist
(c) A corticosteroid
(d) Cromolyn sodium
(e) An antihistamine
Ans: B
22. Which of the following tests is used at home to assess therapy and determine if a patient with asthma should seek emergency care?
(a) Forced expiratory volume in one second (FEV1)
(b) Forced vital capacity (FVC)
(c) Total lung capacity (TLC)
(d) Peak expiratory flow rate (PEFR)
(e) Residual volume (RV)
Ans: D
23. Which of the following agents and dosage regimens is the best choice of treatment for an asthma patient with rheumatoid arthritis who is considered sensitive to aspirin (experiences bronchospasm with use)?
(a) Lbuprofen, 800 mg three times daily
(b) Acetaminophen, 650 mg every 4 hours
(c) Gold injections, 25 mg intramuscularly once a week
(d) Azathioprine, 75 mg daily
(e) Cyclophosphamide, 100 mg daily
Ans: C
24. A drug administered by inhalation of powder as a prophylactic for asthma is
(a) Ephedrine
(b) Disodium cromolyn
(c) Isoproterenol
(d) Ocytriphylline
(e) Epinephrine
Ans: B
25. Which of the following may precipitate an asthma attack?
(a) Respiratory acidosis
(b) Viran and bacterial infections
(c) Respiratory alkalosis
(d) Cranberry jiuce
(e) Chocolate or Coca Cola
Ans: B
26. Terbutaline has a preference for stimulation of which of the following receptors?
(a) Alpha
(b) Gamma
(c) Beta 1
(d) Beta 2
(e) Dopaminergic
Ans: D
27. The National Institutes of Health (NIH) guidelines for the treatment of asthma recommended institution of routine inhaled corticosteroids when patients are
classified as having greater than or equal to which type of asthma?
(a) Mild intermittent
(b) Mild persistent
(c) Moderate persistent
(d) Severe persistent
Ans: B
28. Isoxuprine is used to treat
(a) Asthma
(b) Severe hypotension
(c) Nasal congestion
(d) Premature labor
(e) Hypertension
Ans: D
29. The most likely complication of prolonged use of nasal decongestant drops is
(a) Atrophic rhinitis
(b) Hypertrophy of nasal mucosa
(c) Naso-pharyngeal moniliasis
(d) Blockage of Eustachian tubes
Ans: A
30. Which of the following is a selective H1 receptor agoinist ?
(a) 4-methyl histamine
(b) Impromidine
(c) 2-Thiazolyl ethylamine
(d) Mepyramine
Ans: C
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