Pharmacology Final Exam
testbank comprehensive QnA
A+ Guide.
,What layers make up the mucosal blanket that covers the airways?
• Gel and Sol
• Mucus glands and goblet cells
• Alveolar type I and II cells
• Clara cells and cilia
• Corticosteroids are described as which of the following?
• Bronchodilators
• Smooth muscle dilators
• Anti-inflammatory agents
• Lipid soluble agents
• Cromolyn sodium is indicated in all but which of the
following conditions?
• Acute asthma
• Asthma prophylaxis
• Exercise induced asthma
• Allergic rhinitis
• All BUT WHICH of the following are complications that may occur
with the use of exogenous surfactant?
• Desaturation
• Tachycardia
• Hyperoxygenation
• Overventilation
• Which of the following disease are characterized by hypersecretion
of mucus? Select all that apply.
• Chronic bronchitis
C. Asthma
D. Cystic fibrosis
D. All of the above
• Which of the following would occur if it is determined that an
alveolus has a surface tension of 40 dynes and a radius of 4
centimeters?
, • 20 cmH2O would be required to inflate alveolus; patient’s
WOB would decrease
• 40 cmH2O would be required to inflate alveolus; patient’s WOB would
decrease
• 20 cmH2O would be required to inflate alveolus; patient’s WOB
would increase
• 40 cmH2O would be required to inflate alveolus; patient’s WOB
would increase
• A patient receiving both Azmacort and Proventil questions the
practitioner about why both drugs are needed. The best answer
is:
• Azmacort treats wheezing and Proventil prevents future asthma attacks
• Proventil works quickly to relax your airways and Azmacort
helps reduce the inflammation
• The doctor ordered both to be taken once every night
• Azmacort usually causes bronchospasm, so we are giving you
Proventil to treat this side effect
• The same patient using combination Steroid and Bronchodilator is
discharged from a hospital. The patient is sent home with orders for
both Azmacort and Proventil MDIs. What is most critical that the
patient understand?
• That use of the MDIs may elicit a cough
• That Proventil is also available in a nebulization solution
• That Azmacort is a controller and not to be used during an
acute attack
• That Azmacort should be discontinued after wheezing stops
• If a patient experiences an asthma attack as a result of exposure to
cats, the asthma would be categorized as which of the following?
• Intrinsic
• Extrinsic
• Autoimmune
• Intangible
, • Side effects of aerosolized Mucomyst may include:
• Bronchospasm, acute airway obstruction, and nausea
• Bronchodilation, oropharyngeal irritation, and acute airway obstruction
• Fluid overload, bronchospasm, and oropharyngeal irritation
• Liver damage, bronchospasm, and corrosion of metal dental work
• Which of the following should be stressed when instructing a
new patient in the use of aerosolized steroids?
• Use the MDI steroids only when symptoms are severe
• Taper steroid use gradually under a physician’s supervision
• Adjust dosage and frequency according to how it “feels”
• Alternate MDI steroids with other anti-asthmatic drugs
• What is the mode of action of Acetylcysteine in promoting mucolysis?
• Disruption of plasma proteins
• Increase of mucus alkalinity
• Hygroscopic properties
• Disruption of disulfide bonds
• Allergic and nonallergic rhinitis would be treated with which of
the following forms of corticosteroids?
• Pill
• Nasal spray
• Aerosol
• Injection
• Which of the following would be recommended to properly
administer Survanta to a 1200 gram infant?
• Administer 4 doses of Survanta 1.2 ml via the ET tube
• Provide positive pressure ventilation for 30 to 4545 seconds after
each administration
• Rotate infant four times during administration of the drug
• All of the above
• When administering corticosteroids by the aerosol route, a local
side effect to monitor includes:
testbank comprehensive QnA
A+ Guide.
,What layers make up the mucosal blanket that covers the airways?
• Gel and Sol
• Mucus glands and goblet cells
• Alveolar type I and II cells
• Clara cells and cilia
• Corticosteroids are described as which of the following?
• Bronchodilators
• Smooth muscle dilators
• Anti-inflammatory agents
• Lipid soluble agents
• Cromolyn sodium is indicated in all but which of the
following conditions?
• Acute asthma
• Asthma prophylaxis
• Exercise induced asthma
• Allergic rhinitis
• All BUT WHICH of the following are complications that may occur
with the use of exogenous surfactant?
• Desaturation
• Tachycardia
• Hyperoxygenation
• Overventilation
• Which of the following disease are characterized by hypersecretion
of mucus? Select all that apply.
• Chronic bronchitis
C. Asthma
D. Cystic fibrosis
D. All of the above
• Which of the following would occur if it is determined that an
alveolus has a surface tension of 40 dynes and a radius of 4
centimeters?
, • 20 cmH2O would be required to inflate alveolus; patient’s
WOB would decrease
• 40 cmH2O would be required to inflate alveolus; patient’s WOB would
decrease
• 20 cmH2O would be required to inflate alveolus; patient’s WOB
would increase
• 40 cmH2O would be required to inflate alveolus; patient’s WOB
would increase
• A patient receiving both Azmacort and Proventil questions the
practitioner about why both drugs are needed. The best answer
is:
• Azmacort treats wheezing and Proventil prevents future asthma attacks
• Proventil works quickly to relax your airways and Azmacort
helps reduce the inflammation
• The doctor ordered both to be taken once every night
• Azmacort usually causes bronchospasm, so we are giving you
Proventil to treat this side effect
• The same patient using combination Steroid and Bronchodilator is
discharged from a hospital. The patient is sent home with orders for
both Azmacort and Proventil MDIs. What is most critical that the
patient understand?
• That use of the MDIs may elicit a cough
• That Proventil is also available in a nebulization solution
• That Azmacort is a controller and not to be used during an
acute attack
• That Azmacort should be discontinued after wheezing stops
• If a patient experiences an asthma attack as a result of exposure to
cats, the asthma would be categorized as which of the following?
• Intrinsic
• Extrinsic
• Autoimmune
• Intangible
, • Side effects of aerosolized Mucomyst may include:
• Bronchospasm, acute airway obstruction, and nausea
• Bronchodilation, oropharyngeal irritation, and acute airway obstruction
• Fluid overload, bronchospasm, and oropharyngeal irritation
• Liver damage, bronchospasm, and corrosion of metal dental work
• Which of the following should be stressed when instructing a
new patient in the use of aerosolized steroids?
• Use the MDI steroids only when symptoms are severe
• Taper steroid use gradually under a physician’s supervision
• Adjust dosage and frequency according to how it “feels”
• Alternate MDI steroids with other anti-asthmatic drugs
• What is the mode of action of Acetylcysteine in promoting mucolysis?
• Disruption of plasma proteins
• Increase of mucus alkalinity
• Hygroscopic properties
• Disruption of disulfide bonds
• Allergic and nonallergic rhinitis would be treated with which of
the following forms of corticosteroids?
• Pill
• Nasal spray
• Aerosol
• Injection
• Which of the following would be recommended to properly
administer Survanta to a 1200 gram infant?
• Administer 4 doses of Survanta 1.2 ml via the ET tube
• Provide positive pressure ventilation for 30 to 4545 seconds after
each administration
• Rotate infant four times during administration of the drug
• All of the above
• When administering corticosteroids by the aerosol route, a local
side effect to monitor includes:
