True or false: If an inhaled corticosteroid (ICS) is added for a selected patient with COPD, it can replace the bronchodilator therapy needed for ongoing symptom control.
6 Respiratory Pharmacotherapy: Conditions and Clinical Cases Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Respiratory Pharmacotherapy: Conditions and Clinical Cases, test your knowledge, and prepare for your next test or exam.
A patient using an inhaled corticosteroid asks what local adverse effect might occur. Name one local effect associated with this treatment.
To reduce local medication deposition after an inhaled corticosteroid dose, rinse the mouth and .
Which condition mentioned in the material may require caution when selecting a long-acting muscarinic antagonist (LAMA)? Name one.
True or false: A long-acting beta₂-agonist (LABA) used alone is an appropriate asthma controller.
- A
True
- B
False
A patient with COPD has a persistent productive cough with thick sputum. Select all statements that accurately describe the possible role of a prescribed mucolytic.
- A
A mucolytic may thin mucus and make sputum easier to cough up.
- B
A mucolytic may be considered for selected patients with persistent productive cough.
- C
A mucolytic replaces a bronchodilator when a patient has acute bronchospasm.
- D
A mucolytic is an antibiotic that prevents respiratory infections.
A patient with asthma and allergic rhinitis is prescribed montelukast. Select all counseling statements supported by the material.
- A
It may be used as an add-on or alternative in selected circumstances.
- B
It is not an immediate rescue medicine for a severe asthma attack.
- C
New mood or behavior changes, including suicidal thoughts, should be reported promptly.
- D
It should replace inhaled corticosteroids in every patient with asthma.
- E
It has no important adverse effects because it is taken by mouth.
Theophylline requires careful medication-safety review because it has a .
A patient with COPD remains breathless during routine activities and uses only a short-acting bronchodilator as needed. Which option is commonly considered for ongoing symptom control?
- A
Consider a long-acting bronchodilator such as a LABA, a LAMA, or both.
- B
Use montelukast as the only daily COPD medicine.
- C
Start long-term oral corticosteroids for every patient.
- D
Use a mucolytic instead of bronchodilation.
A 19-year-old with asthma uses albuterol several times most days, wakes with symptoms twice a week, and has no controller medication. Which is the best general treatment principle?
- A
Continue albuterol alone because it opens the airways quickly.
- B
Start an ICS-containing treatment plan and review inhaler technique and asthma control.
- C
Replace albuterol with a LABA used alone.
- D
Add a mucolytic as the main asthma controller.
A patient with asthma uses daily fluticasone–salmeterol and asks to add budesonide–formoterol as a reliever without changing the maintenance inhaler. What is the safest general answer?
- A
Yes; any ICS–LABA combination can be mixed this way.
- B
No; an ICS–formoterol reliever is not paired with maintenance treatment containing a different LABA.
- C
Yes, provided salmeterol is taken once daily.
- D
No; people with asthma should never use a reliever.
True or false: Long-term oral corticosteroids are a routine treatment for every patient with COPD.
- A
True
- B
False
A patient taking theophylline develops nausea, tremor, insomnia, and palpitations after starting another medicine. What should they do?
- A
Take an extra theophylline dose to stabilize breathing.
- B
Seek prompt advice from the prescriber or pharmacist because interactions and theophylline levels may need review.
- C
Stop every respiratory medicine permanently.
- D
Add an over-the-counter decongestant without checking for interactions.
A patient with COPD develops an acute increase in breathlessness and sputum volume, and the sputum is newly purulent. Explain the general initial treatment approach, how the sputum change affects consideration of antibiotics, and when urgent medical assessment is needed.
Which medicine discussed has a narrow therapeutic range, making medication interactions and level monitoring important considerations?
After using an inhaled corticosteroid, what mouth-care action can help reduce local effects such as oral thrush?
A patient with COPD has persistent thick sputum despite otherwise appropriate care. What is the role of a prescribed mucolytic such as carbocisteine or acetylcysteine?
- A
It thins mucus and may make sputum easier to cough up, but it does not replace needed bronchodilators.
- B
It rapidly reverses acute bronchospasm and replaces rescue inhalers.
- C
It treats asthma airway inflammation instead of an inhaled corticosteroid.
- D
It is an antibiotic that prevents all respiratory infections.
A patient with COPD and persistent breathlessness is being considered for a long-acting muscarinic antagonist (LAMA). They also have narrow-angle glaucoma. Which consideration is most appropriate?
- A
A LAMA is always preferred, regardless of other conditions.
- B
A LAMA may require caution because of the patient’s narrow-angle glaucoma.
- C
A mucolytic should replace bronchodilator treatment.
- D
Long-term oral corticosteroids are required for all patients with COPD.
A patient with COPD has an acute increase in breathlessness and sputum volume, and the sputum is newly purulent. Which is the best general approach to managing this exacerbation?
- A
Use a short-acting inhaled bronchodilator for initial relief, assess the exacerbation, and consider a short systemic corticosteroid course and antibiotics when indicated.
- B
Give antibiotics for every COPD exacerbation, regardless of symptoms.
- C
Use a long-acting beta₂-agonist alone as emergency treatment.
- D
Use a mucolytic alone and wait several weeks.
A patient with asthma and allergic rhinitis is prescribed montelukast. Which safety counseling is essential?
- A
It works as an immediate rescue medicine during a severe asthma attack.
- B
It can cause serious mood or behavior changes, including suicidal thoughts; report new symptoms promptly and discuss risks and benefits with the prescriber.
- C
It should replace inhaled corticosteroids in every patient with asthma.
- D
It has no important adverse effects because it is taken by mouth.
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