Cirrus Ch11

Many OTC sleeping pills contain which antihistamine?

dphenhydramine

Patient are advised to rinse their mouth thoroughly with water after using corticosteroids to prevent which of the following effects?

fungal infection

Emphysema is a pulmonary disease that

destroys air sacs in the lungs

What is responsible for 80% of all deaths from COPD in the United States?

smoking

What is the purpose of antitussives

to suppress dry and nonproductive coughs

Name an OTC antihistamine that has a low sedating affect

fexofenadine

Which of the following is not a class of drugs used to treat asthma?

SSRI

Which of the following drugs may be used to treat tuberculosis?

rifampin

When used to administer asthma or COPD medications, which device releases a stream of air flow past a liquid to create a fine mist for the patient to inhale?

nebulizer

An agent that relaxes smooth muscle cells of the bronchioles, thereby increasing airway diameter and improving the movement of gases into and out of the lung is called a(n)

bronchodilator

Cystic fibrosis is a pulmonary disease that also has a primary involvement with which system?

gastrointestinal system

Histoplasmosis is transmitted by

breathing in fungus-bearing dust.

Which of the following medications used to treat tuberculosis discolors urine, sweat, and other body fluids reddish orange?

rifampin

what do guaifenesin, codeine, pseudoephedrine, and cetirizine have in common

they are an antitussive

Rhinitis medicamentosa is a condition of decreased response that results when which of the following are used over a prolonged period of time?

nasal decogestant

Pneumonia that is acquired while an individual is hospitalized or living in a long-term care facility is called

nosocomial pneumonia

Which of the following gives correct instructions for using nicotine gum?

chew and “park“ in the cheek

Which of the following is a common dosage for an albuterol inhaler?

1-2 puffs 3-4 times a day as needed

What term is used for the major mechanism by which pulmonary pathogens gain access to the normally sterile lower airways and alveoli?

aspiration

Why do pharmacies in many areas of the country currently limit the sale of pseudoephedrine?

It is used to make illegal drugs

Which of the following is a potentially life-threatening condition in which the patient has difficulty breathing, has blue lips and nail beds, may lose consciousness, and does not respond to normal management?

status asthmaticus

Xanthine derivatives are structurally similar to which of the following?

caffeine

Which of the following medications is mostlikely to be used to treat or stop an acute asthma attack?

alberol

Which of the following are common side effects of albuterol?

tremors and nervousness

Which of the following is correct for the drug dextromethorphan

Purchasers must be at least 18 years old to buy it over the counter

Which of the following antitussive medications has a warning not to chew or crush?

benzonatate

What class of drugs are contraindicated during acute asthma attacks?

inhaled corticosteroids

Surfactants for respiratory distress syndrome are administered via which of the following routes of administration?

intratracheal

Which of the following classes of drugs enables the patient to rid the lungs and airway of mucus when coughing and decreases the thickness and viscosity of mucus?

expectorants

Which of the following drugs is the most commonly used OTC expectorant?

Mucinex

Which of the following is a primary side effect of inhaled corticosteroids?

oral candidiasis

Which of the following antitussive medications has a boxed warning about respiratory depression and death in children who receive it after tonsillectomy or adenoidectomy?

codeine

Which class of drugs are the most effective monotherapy for allergic rhinitis?

nasal corticosteroids

Which of the following metered dose inhalers would be most appropriate for an acute attack of asthma that requires immediate attention?

albuterol

If a patient is using a fluticasone MDI, what must be done after each use?

rinse with water

Which of the following is an inherited disease that involves both the gastrointestinal and pulmonary systems?

cystic fibrosis

Which of the following classes of drugs stimulate the alpha-adrenergic receptors of the vascular smooth muscle, constricting the dilated arteriolar network within the nasal mucosa?

decongestants

Which of the following medications is the generic name for Robitussin?

dextromethorphan

Which of the following is an over-the-counter medication that is sold behind the counter in pharmacies due to specific regulatory restrictions on sales?

deslpratadine

When short-acting beta agonists and inhaled corticosteroids are not adequately controlling breathing symptoms, a physician prescribes Singulair, which is a(n)

leukotriene inhibitor

The purified protein derivative used for a tuberculosis skin test is injected into the patient

intradermally

Which of the following is the brand name for Benadryl?

diphenhydramine

Pneumonia is treated with which of the following drug classes?

antibiotics

Which of the following is a not a side effect of short-acting beta-agonists?

blocking beta-2 receptors in the lungs

Tussionex is a combination drug with chlorpheniramine and which of the following drugs?

hydrocodone

Which of the following is a decongestant available as a tablet, injection, eye drop, and nasal spray?

phenylephrine

Which of the following is not a way in which the cough reflex can be stopped?

increasing the action of the expiratory muscles

Which of the following drug classes protects cell membranes from rupturing and causes less histamine and fewer leukotrienes and prostaglandins to be released into airway tissue?

mast cell stabilizers

Once formoterol is removed from the refrigerator, it may be used for _____ assuming that the manufacturer's expiration is not an earlier date.

3 months

Which of the following corticosteroids contains lactose and should not be used in those patients with a hypersensitivity to milk proteins or lactose?

MOMETASONE

If a patient is ordered to inhale 2 puffs of an MDI, how long should they wait before inhaling the second puff if they are not experiencing an asthma exacerbation?

approximately 1 minute

A patient forcefully blows into a device and the measurement is below 50%, prompting immediate treatment. The device used for obtaining this measurement is a(n)

peak flow meter

Which of the following is a group of chronic lung diseases that are irreversible, progressive conditions in which airflow is limited by an abnormal inflammatory response?

chronic obstructive pulmonary disease

Which of the following drugs is not used for smoking cessation?

buspirone

Which of the following antihistamines also has antitussive properties?

diphenhydramine

When using an HFA inhaler, the patient should breathe in _____, whereas with the dry-powder inhaler the patient should breathe in _____.

slowly; quickly

Which of the following may be effective when used orally for management of chronic asthma?

choline

Tiotropium is an example of a(n) _____ drug used in the treatment of COPD.

anticholinergic

Advair Diskus contains

fluticasone and salmeterol

What is the most common side effect of first-generation antihistamines?

sedation