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NSG 6005 midterm exam -graded A

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1. The first-line treatment for cough related to a upper respiratory infection in a five-year-old is: A. Fluids and symptomatic care B. Dextromethorphan and guaifenesin syrup (Robitussin DM for kids... ) C. Guaifenesin and codeine syrup (Tussin AC) D. Chlorpheniramine and dextromethorphan syrup (NyQuil for kids) 2. Pregnant patients with asthma may safely use throughout their pregnancies. A. oral terbutaline B. prednisone C. inhaled corticosteroids (budesonide) D. montelukast (Singulair) 3. A stepwise approach to the pharmacologic management of asthma: A. Begins with determining the severity of the asthma and assessing asthma control B. Is used when the asthma is severe and requires daily steroids C. Allows for each provider to determine his or her personal approach to the care of asthmatic patients D. Provides a framework for the management of severe asthmatics but is not as helpful when patients have intermittent asthma 4. Infants with reflux are initially treated with: A. Histamine 2 receptor antagonist (ranitidine) B. A PPI (omeprazole) C. Antireflux maneuvers (elevate the head of the bed) D. Prokinetic (metoclopramide) 5. Many patients self-medicate with antacids. Which patients should be counseled to not take calcium carbonate antacids without discussing with their providers or a pharmacist first? A. Patients with kidney stones B. Pregnant patients C. Patients with heartburn D. Postmenopausal women 6. Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they: A. Are more effective than first-generation antihistamines B. Are less sedating than first-generation antihistamines C. Are prescription products and, therefore, are covered by insurance D. Can be taken with CNS sedatives, such as alcohol 7. Decongestants such as pseudoephedrine (Sudafed): A. Are Schedule III drugs in all states B. Should not be prescribed or recommended for children under four years of age C. Are effective in treating the congestion children experience with the common cold D. May cause drowsiness in patients of all ages 8. Patients with pheochromocytoma should avoid which of the following classes of drugs due to the possibility of developing hypertensive crisis? A. Expectorants B. Beta 2 agonists C. Antitussives D. Antihistamines 9. Education of patients with COPD who use inhaled corticosteroids includes the following: A. They should double the dose at the first sign of a upper respiratory infection. B. They should use the inhaled corticosteroid first and then the bronchodilator. C. They should rinse their mouths after use. D. They should not smoke for at least thirty minutes after use. 10. Monitoring a patient with persistent asthma includes: A. Monitoring how frequently the patient has a upper respiratory infection during treatment B. Monthly in-office spirometry testing C. Determining whether the patient has increased use of his or her long-acting beta 2 agonists due to exacerbations D. Evaluating the patient every one to six months to determine whether the patient needs to step up or down in his or her therapy CONTINUED............ [Show More]

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