Prednisone 3 . Inhaled corticosteroids (budesonide) 4 . Montelukast (Singulair) 11. One goal of asthma management in children is: 1 . They independently manage their asthma 2 . Participation in school & sports activities 3 . No exacerbations 4 . Minimal use of inhaled corticosteroids 12. Medications used in the management of patients with chronic obstructive pulmonary disease ( COPD) include: 1. Inhaled beta-2-agonists 2. Inhaled anticholinergics (ipratropium) 3. Inhaled corticosteroids 4. All of the above 13. Patients with a COPD exacerbation may require: 1 . Doubling of inhaled corticosteroid dose 2 . Systemic corticosteroid burst 3 . Continuous inhaled beta-2-agonists 4 . Leukotriene therapy 14. Patients with COPD require monitoring of: 1 . Beta-2-agonist use 2 . Serum electrolytes 3 . Blood pressure 4 . Neuropsychiatric effects of montelukast 15. Education of patients with COPD who use inhaled corticosteroids includes: 1 Doubling the dose at the first sign of a URI ADV Pharm | TextBook | StudyGuide 78
. 2 . Using their inhaled corticosteroid first & then their bronchodilator 3 . Rinsing their mouth after use 4 . Abstaining from smoking for at least 30 minutes after using 16. Education for patients who use an inhaled beta-agonist & an inhaled corticosteroid includes: 1 . Use the inhaled corticosteroid first, followed by the inhaled beta-agonists. 2 . Use the inhaled beta-agonist first, followed by the inhaled corticosteroid. 3 . Increase fluid intake to 3 liters per day. 4 . Avoid use of aspirin or ibuprofen while using inhaled medications. Chapter 31. Contraception 1. Women who are taking an oral contraceptive containing the progesterone drospirenone may require monitoring of: 1 . Hemoglobin 2 . Serum calcium 3 . White blood count 4 . Serum potassium 2. The mechanism of action of oral combined contraceptives that prevents pregnancy is: 1 . Estrogen prevents the luteinizing hormone surge necessary for ovulation. 2 . Progestins thicken cervical mucus & slow tubal motility. 3 . Estrogen thins the endometrium making implantation difficult. 4 . Progestin suppresses follicle stimulating hormone release. 3. To improve actual effectiveness of oral contraceptives women should be educated regarding: 1 . Use of a back-up method if they have vomiting or diarrhea during a pill packet 2 . Doubling pills if they have diarrhea during the middle of a pill pack 3 . The fact that they will have a normal menstrual cycle if they miss two pills 4 . The fact that mid-cycle spotting is not normal & the provider should be contacted immediately 4. A contraindication to the use of combined contraceptives is: 1 . Adolescence (not approved for this age) 2 . A history of clotting disorder 3 . Recent pregnancy 4 . Being overweight 5. Obese women may have increased risk of failure with which contraceptive method? 1 . Combined oral contraceptives ADV Pharm | TextBook | StudyGuide 79
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