Digoxin levels need to be monitored closely
when the following medication is started:
1. Loratadine
2. Diphenhydramine
3. Ipratropium
4. Albuterol - ANSWER-Albuterol
Patients with pheochromocytoma should avoid
which of the following classes of drugs because
,of the possibility of developing hypertensive
crisis?
1. Expectorants
2. Beta-2-agonists
3. Antitussives
4. Antihistamines - ANSWER-Beta-2-agonists
Harold, a 42-year-old African American, has
moderate persistent asthma. Which of the
following asthma medications should be used
cautiously, if at all?
1. Betamethasone, an inhaled corticosteroid
2. Salmeterol, an inhaled long-acting beta-
agonist
3. Albuterol, a short-acting beta-agonist
4. Montelukast, a leukotriene modifier -
ANSWER-Salmeterol, an inhaled long-acting
beta-agonist
,Long-acting beta-agonists (LTBAs) received a
Black Box Warning from the U.S. Food and Drug
Administration due to the:
1. Risk of life-threatening dermatological
reactions
2. Increased incidence of cardiac events when
LTBAs are used
3. Increased risk of asthma-related deaths when
LTBAs are used
4. Risk for life-threatening alterations in
electrolytes - ANSWER-Increased risk of
asthma-related deaths when LTBAs are used
The bronchodilator of choice for patients taking
propranolol is:
1. Albuterol
2. Pirbuterol
James is a 52-year-old overweight smoker
taking theophylline for his persistent asthma.
He tells his provider he is going to start the
Atkin's diet for weight loss. The appropriate
response would be:
1. Congratulate him on making a positive
change in his life.
2. Recommend he try stopping smoking instead
of the Atkin's diet.
3. Schedule him for regular testing of serum
theophylline levels during his diet due to
increased excretion of theophylline.
4. Decrease his theophylline dose because a
high-protein diet may lead to elevated
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