01
True or false
1 point
True or false: A leukotriene modifier should be used instead of a rescue inhaler to relieve sudden asthma symptoms.
Free Practice Quiz Question List
4 Leukotriene Modifiers and Mucolytics Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Leukotriene Modifiers and Mucolytics, test your knowledge, and prepare for your next test or exam.
20 questions
02
Choose one
1 point
A patient with allergic rhinitis asks whether montelukast is usually the first medicine to try. Which response best reflects its recommended role?
- A
It is generally the first choice for every patient with allergic rhinitis.
- B
It is generally reserved for patients who do not respond to or cannot tolerate alternatives.
- C
It is used for allergic rhinitis only during an acute asthma attack.
- D
It is not used for allergic rhinitis.
03
Written response
1 point
Which medication in this group carries a boxed warning for serious neuropsychiatric events?
04
Fill in the blank
1 point
Montelukast and zafirlukast block receptors.
05
Choose one
1 point
Which medication inhibits 5-lipoxygenase to reduce leukotriene synthesis?
- A
Montelukast
- B
Zafirlukast
- C
Zileuton
- D
Dornase alfa
06
Choose all
1 point
Which effects can leukotrienes contribute to in the airways? Select all that apply.
- A
Airway inflammation
- B
Breakdown of extracellular DNA
- C
Bronchoconstriction
- D
Mucus production
- E
Airway swelling
07
True or false
1 point
True or false: Both zafirlukast and zileuton can cause liver injury.
- A
True
- B
False
08
Choose all
1 point
A patient’s medication list is being checked for interactions involving leukotriene modifiers. Which statements are correct? Select all that apply.
- A
Zafirlukast can interact with warfarin.
- B
Montelukast can raise theophylline levels.
- C
Zileuton can raise theophylline levels.
- D
Zileuton can raise warfarin levels.
09
Fill in the blank
1 point
Inhaled acetylcysteine reduces mucus thickness by disrupting in mucus proteins.
10
Choose one
1 point
A patient develops progressing bronchospasm during inhaled acetylcysteine treatment. What action is appropriate?
- A
Continue acetylcysteine without reassessment.
- B
Stop acetylcysteine, monitor the patient, and obtain clinical assessment.
- C
Give an additional acetylcysteine dose immediately.
- D
Use acetylcysteine as a rescue treatment for sudden wheezing.
11
Written response
1 point
What material does dornase alfa break down in cystic fibrosis sputum?
12
Open ended
1 point
Explain how inhaled acetylcysteine and dornase alfa differ in the material they act on and how each helps reduce secretion viscosity.
13
Choose one
1 point
Which medication is used with standard care for cystic fibrosis to improve pulmonary function by reducing DNA-related sputum viscosity?
- A
Zafirlukast
- B
Zileuton
- C
Dornase alfa
- D
Montelukast
14
True or false
1 point
True or false: Zileuton can raise theophylline and warfarin levels.
- A
True
- B
False
15
Choose one
1 point
Which medication carries a boxed warning for serious neuropsychiatric events?
- A
Zafirlukast
- B
Montelukast
- C
Zileuton
- D
Dornase alfa
16
Written response
1 point
Which receptor do both montelukast and zafirlukast block?
17
Choose one
1 point
A patient with cystic fibrosis is prescribed an inhaled enzyme alongside standard care to reduce the viscosity of sputum. Which action explains the enzyme’s effect?
- A
It blocks CysLT₁ receptors to reduce airway inflammation.
- B
It disrupts disulfide bonds in mucus proteins.
- C
It breaks down extracellular DNA in sputum.
- D
It inhibits 5-lipoxygenase to reduce leukotriene synthesis.
18
Written response
1 point
Which anticoagulant interacts with zafirlukast?
19
Choose one
1 point
Which mechanism distinguishes zileuton from montelukast?
- A
It blocks CysLT₁ receptors.
- B
It inhibits 5-lipoxygenase and reduces leukotriene synthesis.
- C
It breaks down extracellular DNA in sputum.
- D
It disrupts disulfide bonds in mucus proteins.
20
Choose one
1 point
A patient taking montelukast develops new nightmares and marked mood changes. What is the most appropriate advice?
- A
Continue treatment without reporting the symptoms unless breathing worsens.
- B
Contact the prescriber promptly because the symptoms may require stopping the medicine.
- C
Take an extra dose at bedtime to prevent further symptoms.
- D
Use the medicine only when asthma symptoms occur.
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