Leukotrienes contribute to airway narrowing, swelling, and .
5 Leukotriene Modifiers Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Leukotriene Modifiers, test your knowledge, and prepare for your next test or exam.
How many hours before a meal should zafirlukast be taken at minimum? Enter the value in hours.
Leukotriene modifiers can rapidly relieve sudden asthma symptoms.
- A
True
- B
False
Which pairing correctly distinguishes the mechanisms of leukotriene modifiers?
- A
Montelukast inhibits 5-lipoxygenase; zileuton blocks leukotriene receptors.
- B
Montelukast and zafirlukast block cysteinyl-leukotriene receptors; zileuton inhibits 5-lipoxygenase.
- C
All three drugs directly relax airway smooth muscle.
- D
All three drugs inhibit histamine receptors.
What medical term describes yellowing of the skin or eyes, a symptom a patient taking zafirlukast should report?
Montelukast and block cysteinyl-leukotriene receptors.
A patient prescribed an inhaled corticosteroid can replace it with a leukotriene modifier without consulting a clinician.
- A
True
- B
False
A caregiver reports that a child taking montelukast has developed new nightmares and marked behavior changes. What is the most appropriate response?
- A
Reassure the caregiver that these changes cannot be related to montelukast.
- B
Double the dose at bedtime.
- C
Stop montelukast and contact the child's healthcare provider promptly.
- D
Wait until the next routine appointment without reporting the changes.
Which safety plan is particularly important before and during zileuton treatment?
- A
Assess liver enzymes before treatment and monitor them during therapy.
- B
Schedule routine hearing tests.
- C
Monitor blood glucose because hypoglycemia is expected.
- D
Restrict all fluid intake.
A patient taking warfarin is prescribed zileuton. Select all actions the care team should consider.
- A
Monitor prothrombin time.
- B
Adjust warfarin as appropriate based on monitoring.
- C
Stop warfarin permanently in every patient.
- D
Assume zileuton makes warfarin ineffective.
A patient is receiving zafirlukast. Select all accurate counseling or safety points.
- A
Take zafirlukast at least 1 hour before or 2 hours after meals.
- B
Report symptoms such as jaundice or right-upper-abdominal pain.
- C
Take zafirlukast with meals to maximize absorption.
- D
Address the possibility of increased prothrombin time when the patient takes warfarin.
A patient with asthma plans to use a leukotriene modifier only when sudden symptoms begin and to stop a prescribed inhaled corticosteroid. Explain what the patient should understand about the role of leukotriene modifiers and what to do instead.
Which leukotriene modifier is specifically indicated for prevention of exercise-induced bronchoconstriction?
- A
Montelukast
- B
Zileuton only
- C
Zafirlukast only
- D
None of these medicines
A patient asks whether montelukast is an option for allergic rhinitis. Which statement best reflects its role?
- A
Montelukast is a first-choice treatment for allergic rhinitis even when alternatives are suitable.
- B
Montelukast may be used for allergic rhinitis when the patient does not respond to or cannot tolerate alternative treatments.
- C
Montelukast is not used for allergic rhinitis under any circumstances.
- D
Montelukast is used for allergic rhinitis only to rapidly relieve an acute asthma attack.
True or false: A leukotriene modifier should replace a prescribed inhaled corticosteroid for asthma control even if a clinician has not changed the treatment plan.
- A
True
- B
False
Which leukotriene modifier is specifically indicated to prevent exercise-induced bronchoconstriction?
Which option correctly matches these leukotriene modifiers with their mechanisms?
- A
Montelukast and zafirlukast inhibit 5-lipoxygenase; zileuton blocks leukotriene receptors.
- B
Montelukast and zafirlukast block leukotriene receptors; zileuton inhibits 5-lipoxygenase.
- C
All three drugs directly relax airway smooth muscle.
- D
All three drugs block histamine receptors.
Which enzyme does zileuton inhibit to reduce leukotriene production?
A patient with asthma develops sudden wheezing and reaches for montelukast for immediate relief. What is the best response?
- A
Take an extra dose of montelukast because it acts as a rapid bronchodilator.
- B
Use the prescribed rescue medicine; montelukast is not for an acute asthma attack.
- C
Take zileuton because it reverses sudden bronchospasm.
- D
Take zafirlukast with food for faster relief.
A patient asks whether montelukast is an option for allergic rhinitis. Which response best reflects its role?
- A
Montelukast is the preferred first treatment for allergic rhinitis in everyone.
- B
Any leukotriene modifier can be used for allergic rhinitis without considering alternatives.
- C
Montelukast may be used for allergic rhinitis when other treatments do not work or cannot be tolerated.
- D
Leukotriene modifiers are never used for allergic rhinitis.
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