Quiz
Phamacotherapeutics - Drugs for Cough & Cold
Perguntas do quiz (29)
1Which of the following is/are true regarding antitussive medications?
(select all that apply)- AUsed to suppress coughing
- BMay be used long-term
- CBetter for dry (non-productive) cough
- DNot very effective at current OTC doses
- EContraindicated in children < 6 years old
2Why would antitussives be contraindicated?
- AThey cause gastrointestinal symptoms if used over 7 days.
- BCoughing is a defense mechanism which we don't want to suppress.
- CPatient has a productive cough.
- DPatient is < 2 years old
- EAll of the above
- FAll but A
3What is the mechanism of action of Codeine and what is it's brand name?
- AInhibits cough through direct effect on brainstem cough center. Also might inhibit peripheral afferent neurons that initiate coughing.
- BCompetes for H1 receptor sites on respiratory tract to reduce secretion and stop coughing
- CRobitussin AC
- DRobitussin DM
- EDelsym
4What is the mechanism of Dextromethorphan and what is/are it's brand names?
- ASoothing to the airway through vaporization.
- BInhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a non-narcotic.
- CInhibits cough reflex by a similar mechanism to Codeine (inhibits cough through direct effect on brainstem cough center) but is a narcotic and provides stronger action.
- DRobitussin AC
- ERobitussin DM
- FVicks Vaposteam
- GDelsym
5Which two medications are sold as Vicks?
- ADelsym
- BMenthol
- CCarnauba
- DCamphor
- ELanolin
6What are some common adverse effects of Codeine?
- AFatigue
- BAbdominal pain
- CDrowsiness
- DDizziness
- EAtaxia
7What are some common side effects of Dextromethorphan?
- AConfusion
- BAtaxia
- CIrritability
- DNervousness
- EExcitement
8What is the primary side effect of Benadryl?
- AShortness of Breath
- BAtaxia
- CVomiting
- DInsomnia
- EDrowsiness
9Which drug do the young whippersnappers Robo Trip with?
- ARobitussin AC
- BRobaxin
- CDiphenhydramine
- DDextromethorphan
- ETylenol
10What are some therapeutic benefits of Expectorants?
- ACompete for H1 receptor sites on respiratory tract to reduce secretion and stop coughing.
- BFacilitate production and ejection of mucus.
- CMay increase pulmonary function
- DPrevents respiratory passages from being clogged by thick, viscous secretions.
- EReduce secretions from upper airway so as to prevent drainage into the lower respiratory tract.
11Which of the following are Adverse Effects of Decongestants?
- AHeadache
- BDizziness
- CHypertension
- DPalpitations
- ESeizures
- FNausea
- GNervousness
12Which of the following are characteristics of decongestants.
- ABinds to receptors located on blood vessels of nasal mucosa and stimulate vasoconstriction and resulting in drying up of mucosal vasculature and decreased local congestion
- BUsually beta-2 adrenergic agonists.
- CUsually beta-1 adrenergic agonists.
- DUsually alpha-1 adrenergic agonists.
- EAlmost exclusively systemic medications.
- FMay be systemic or local medications.
- GAlmost exclusively local medications
- HCan cause CNS depression, avoid excessive use
- ICan cause CNS excitation, avoid excessive use
13Which oral decongestant rocks and which one sucks?
- APhenylephrine
- BPseudoephedrine
14When is the best time to take an oral decongestant?
- AIn the morning to reduce the negative consequences of CNS excitation.
- BIn the evening to reduce the negative consequences of CNS depression.
- CAny time of day as CNS effects are not often seen in decongestants.
- DIn the evening to help congested patients sleep.
15What is the chief concern with Afrin administration and what is its generic name?
- ANasal polyps
- BRebound congestion
- CEpistaxis
- DOxymetazoline
- EXylometazoline
- FPhenylephrine
16Choose the correct statements regarding Phenylephrine and Pseudoephedrine. (if you get something incorrect, try flipping the statements)
- APhenylephrine is more bioavailable (90%) than Pseudoephedrine (38%)
- BPhenylephrine: a1 adrenergic, weak B adrenergic
Pseudoephedrine: a1 and B adrenergic - CPhenylephrine has CNS effects, Pseudoephedrine does not.
- DPseudoephedrine has more efficacy data than Phenylephrine.
- EPatients with heart conditions, asthma, and COPD need to be more cautious with Pseudoephedrine and less so with Phenylephrine
17Which of these is NOT a condition in which we should be cautious when prescribing oral decongestants?
- AHypertension
- BHyperthyroidism
- CDiabetes
- DCoronary heart disease
- EDiverticulitis
- FElevated intraocular pressure
- GProstatic hypertrophy
- HMAOIs
18Which Histamine mediates allergic response and is therefore what our antihistamine drugs target?
- AH1
- BH2
- CH3
- DH4
19Arrange these antihistamine medications in terms of their ability to cross the blood brain barrier, from most crossing to least.
- ADiphenhydramine, Loratidine, Fexofenadine, Cetirizine
- BDiphenhydramine, Fexofenadine, Loratidine, Cetirizine
- CDiphenhydramine, Cetirizine, Loratidine, Fexofenadine
- DFexofenadine, Diphenhydramine, Cetirizine, Loratidine
- ELoratidine, Cetirizine, Fexofenadine, Diphenhydramine
20Which of the following medications are First Generation Antihistamines?
- ABrompheniramine (Dimetapp)
- BChlorpheniramine (Chlor-Trimeton)
- CClemastine (Tavist)
- DHydroxyzine (Atarax)
- ELevocetirizine (Xyzal)
- FDimenhydrinate (Dramamine)
- GDiphenhydramine (Benadryl)
- HDesloratidine (Clarinex)
21Which of the following are Second Generation Antihistamines?
- ACetirizine (Zyrtec)
- BDesloratidine (Clarinex)
- CDiphenhydramine (Benadryl)
- DFexofenadine (Allegra)
- EDimenhydrinate (Dramamine)
- FLevocetirizine (Xyzal)
- GLoratidine (Claritin)
22While antihistamines are generally used more for allergic rhinitis and congestion, one medication has some efficacy in treating cold related rhinorrhea. Which is it?
- ACetirizine (Zyrtec)
- BFexofenadine (Allegra)
- CDiphenhydramine (Benadryl)
- DLoratidine (Claritin)
23What are some precautions and warnings to consider when prescribing antihistamines to patients?
- AEmphysema
- BChronic Bronchitis
- CNarrow Angle Glaucoma
- DCardiovascular disease
- EEnlarged Prostate Gland
- FIncreased risk of CVA
- GDecrease in milk supply in nursing mothers.
24What are some special considerations to make in elderly and children before prescribing Antihistamines?
- AElderly patients having a paradoxical hyperactivity.
- BChildren having a paradoxical hyperactivity.
- CLong half life in elderly, causing extended effect and increased fall risk.
- DLong half life in children, causing poor performance in school and social dysfunction.
25When a combination product advertises itself as a Nighttime/PM medication, what is likely in the combination?
- APseudoephedrine, Phenylephrine (decongestant) but no antihistamine
- BPseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
- CDiphenhydramine, Chlorpheniramine, or Doxylamine
- DDextromethorphan
- EAntihistamine
26When a combination product advertises itself as a Nondrowsy/AM/Daytime medication, what is likely in the combination?
- ADiphenhydramine, Chlorpheniramine, or Doxylamine
- BPseudoephedrine, Phenylephrine (decongestant) but no antihistamine
- CPseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
- DDextromethorphan
- EAntihistamine
27When a combination product advertises itself as a Sinus medication, what is likely in the combination?
- ADiphenhydramine, Chlorpheniramine, or Doxylamine
- BPseudoephedrine, Phenylephrine (decongestant) but no antihistamine
- CPseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
- DDextromethorphan
- EAntihistamine
28When a combination product advertises itself as a Cough medication, what is likely in the combination?
- ADiphenhydramine, Chlorpheniramine, or Doxylamine
- BPseudoephedrine, Phenylephrine (decongestant) but no antihistamine
- CPseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
- DDextromethorphan
- EAntihistamine
29When a combination product advertises itself as an Allergy medication, what is likely in the combination?
- ADiphenhydramine, Chlorpheniramine, or Doxylamine
- BPseudoephedrine, Phenylephrine (decongestant) but no antihistamine
- CPseudoephedrine, Phenylephrine (decongestant) and/or an analgesic
- DDextromethorphan
- EAntihistamine
Informações
- Descrição
- Pharm: Drugs for Cough and Cold
- Autor
- campbellpa2017
- Idioma
- English
- Visualizações
- 32
- Etiquetas
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