respiratory, dermatologic, opthalmic, otic
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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what class is ipatropium | anticholinergic
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what class is theophylline | methylxanthines
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common long acting beta agonist (LABA) | salmeterol, formoterol
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common short acting beta agonist (SABA) | albuterol, levalbuterol
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what is the hallmark of asthma? | decreased forced expiatory volume
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asthma remodeling results in what? | permanent structural changes
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major characteristics of asthma | bronchial hyper-responsiveness
airway inflammation
airway obstruction
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what is a contraindication to asthma corticosteroids? | hypersensitivity to mile products
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first step in NAEPP guidelines in pharm. approach to asthma | SABA PRN
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second step in NAEPP guidelines in pharm. approach to asthma | Low dose ICS
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third step in NAEPP guidelines in pharm. approach to asthma | low dose ICS and LABA or medium dose ICS
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fourth step in NAEPP guidelines in pharm. approach to asthma | Medium dose ICS and LABA
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fifth step in NAEPP guidelines in pharm. approach to asthma | high dose ICS and LABA
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sixth step in NAEPP guidelines in pharm. approach to asthma | high dose ICS and LABA and oral corticosteroid
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LABA should NEVER be used without accompanying.... | corticosteriod
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pathophysiology of COPD | chronic airflow limitation
inflammation within airways, pulmonary vasculature and lung parenchyma
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COPD changes include: | lung parynchemia
decreased elastic recoil
decreased force of expiration
flattening of diaphragm
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In a diagnosis of COPD what is the FEV1/FVC ? | <70%
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In the COPD GOLD classification system, _____ and _____ automatically places the patient in stage IV: very severe catergory. | right sided heart failure and chronic respiratory failure
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True of False: none of the medications used for COPD have been shown to modify long term lung function | True
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what is prescribed for patients with group A in the COPD GOLD algorithm | SAMA or SABA
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what is prescribed for patients with group B in the COPD GOLD algorithm | LAMA or LABA
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what is prescribed for patients with group C in the COPD GOLD algorithm | ICS and LABA or LAMA
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what is prescribed for patients with group D in the COPD GOLD algorithm | ICS and LABA and LAMA
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What is the fist choice treatment plan for mild to moderate URI symptoms? | 1st choice is oral:
antihistamine (non-sedating)&
decongestant
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what is the second choice for mild to moderate URI symptoms? | second choice is nasal:
nasal antihistamines
intranasal cromolyn &
leukotriene receptor antagoinst
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ointments | increased lubrication and occlusion
use for dry or thick hyperkertotic lesion
avoid in hairy areas
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creams | mix of water and oil suspension
well absorbed into the skin
less potent than ointments
no occlusive effects
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lotions | less greasy and occlusive
contains alcohol and has drying effect
useful in hairy areas
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gels | beneficial for exudative inflammation (poison ivy)
dries quickly
applied to scalp or hairy areas
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with dermatologic agents topical antifungals, how long must you treat? | until complete turnover of skin
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what is the hallmark of bacterial conjunctivitis? | purulent drainage
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what is the hallmark of viral conjunctivitis? | clear drainage
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Name a common LAMA | spiriva
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name a common SAMA | atrovent
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