NSG 6005 Pharm Week 6 Gastro, H2s, Laxatives, Cytoprotective Quiz (Questions & Answers)

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Asthma exacerbations at home are managed by the patient by: 1. Increasing the frequency of beta 2 agonists and contacting his or her provider 2. Doubling inhaled corticosteroid dose 3. Increasing t... he frequency of beta 2 agonists 4. Starting montelukast (Singulair) Howard is a seventy-two-year-old male who occasionally takes diphenhydramine for his seasonal allergies. Monitoring for this patient taking diphenhydramine would include assessing for: 1. Urinary retention 2. Cardiac output 3. Peripheral edema 4. Skin for rash A patient with a COPD exacerbation may require 1. Doubling of inhaled corticosteroid dose 2. Systemic corticosteroid burst 3. Continuous inhaled beta 2 agonists 4. Leukotriene therapy Decongestants such as pseudoephedrine (Sudafed): 1. Are Schedule III drugs in all states 2. Should not be prescribed or recommended for children under four years of age 3. Are effective in treating the congestion children experience with the common cold 4. May cause drowsiness in patients of all ages Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first? 1. Patients with kidney stones 2. Pregnant patients 3. Patients with heartburn 4. Postmenopausal women An acceptable first-line treatment for PUD disease with positive H. pylori test is: 1. Histamine 2 receptor antagonists for four to eight weeks 2. A PPI twice daily (BID) for twelve weeks until healing is complete 3. A PPI BID plus clarithromycin plus amoxicillin for fourteen days 4. A PPI BID and levofloxacin for fourteen days In five- to eleven-year-old children, mild-persistent asthma is diagnosed when asthma symptoms occur: 1. At nighttime one to two times a month 2. At nighttime three to four times a month 3. Less than twice a week 4. Daily When treating a patient using the "step-down" approach, the patient with GERD is started on ____ first. 1. Antacids 2. Histamine 2 receptor antagonists 3. Prokinetics 4. PPIs A stepwise approach to the pharmacologic management of asthma: 1. Begins with determining the severity of the asthma and assessing asthma control 2. Is used when the asthma is severe and requires daily steroids 3. Allows for each provider to determine his or her personal approach to the care of asthmatic patients 4. Provides a framework for the management of severe asthmatics but is not as helpful when patients have intermittent asthma Monitoring a patient with persistent asthma includes: 1. Monitoring how frequently the patient has a upper respiratory infection during treatment 2. Monthly in-office spirometry testing 3. Determining whether the patient has increased use of his or her long-acting beta 2 agonists due to exacerbations 4. Evaluating the patient every one to six months to determine whether the patient needs to step up or down in his or her therapy Infants with reflux are initially treated with: 1. Histamine2 receptor antagonist (ranitidine) 2. Proton pump inhibitor (omeprazole) 3. Anti-reflux maneuvers (elevate the head of the bed) 4. Prokinetic (metoclopramide) Education of patients with COPD who use inhaled corticosteroids includes the following: 1. They should double the dose at the first sign of a upper respiratory infection. 2. They should use the inhaled corticosteroid first and then the bronchodilator. 3. They should rinse their mouths after use. 4. They should not smoke for at least thirty minutes after use Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? 1. Expectorants 2. Beta 2 agonists 3. Antitussives 4. Antihistamines One goal of asthma therapy outlined by the NHLBI Expert Panel 3 guidelines is 1. Use albuterol daily to control symptoms 2. Minimize exacerbations to once a month 3. Keep nighttime symptoms at a maximum of twice a week 4. Require infrequent use of beta 2 agonists (albuterol) for relief of symptoms Metoclopramide improves GERD symptoms by: 1. Reducing acid secretion 2. Increasing gastric pH 3. Increasing lower esophageal tone 4. Decreasing lower esophageal tone Pregnant patients with asthma may safely use ____ throughout their pregnancies Oral terbutaline Prednisone 3. inhaled corticosteroids (budesonide) Montelukast (Singulair) Medications used in the management of patients with COPD include: 1. Inhaled beta 2 agonists 2. Inhaled anticholinergics (ipratropium) 3. Inhaled corticosteroids 4. All of the above Patients who are on chronic long-term PPI therapy require monitoring for: 1. Iron deficiency anemia, vitamin B12, and calcium deficiency 2. Folate and magnesium deficiency 3. Elevated uric acid levels leading to gout 4. Hypokalemia and hypocalcemia [Show More]

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