Patients who are at risk of a fatal asthma attack

Patients who are at risk of a fatal asthma attack include patients:
1. With moderate persistent asthma
2.
With a history of requiring intubation or ICU admission for asthma
3. Who are on daily inhaled corticosteroid therapy
4. Who are pregnant
____ 10.
Pregnant patients with asthma may safely use ________ throughout their pregnancy.
1. Oral terbutaline
2. 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 and 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
2.
Using their inhaled corticosteroid first and 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 and 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 34. Gastroesophageal Reflux and Peptic Ulcer Disease
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1.
Gastroesophageal reflux disease may be aggravated by the following medication that affects lower
esophageal sphincter (LES) tone:
1. Calcium carbonate
2. Estrogen
3. Furosemide
4. Metoclopramide
____ 2.
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food or drink
that may aggravate GERD include:
1. Eggs
2.
Caffeine
3. Chocolate
4. Soda pop
____ 3.
Metoclopramide improves gastroesophageal reflux disease symptoms by:
1. Reducing acid secretion
2.
Increasing gastric pH
3. Increasing lower esophageal tone

4. Decreasing lower esophageal tone
____ 4.
Antacids treat gastroesophageal reflux disease by:
1. Increasing lower esophageal tone
2.
Increasing gastric pH
3. Inhibiting gastric acid secretion
4. Increasing serum calcium level
____ 5.
When treating patients using the “Step-Down” approach the patient with gastroesophageal reflux disease is
started on _______ first.