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Respiratory Disease Management Flashcards

7 cards from real MTM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Respiratory Disease Management flashcards as text

  1. According to GINA guidelines, what is the preferred first-line controller therapy for mild persistent asthma in adults?

    Answer: Inhaled corticosteroid (ICS)

    Inhaled corticosteroids are the preferred first-line controller for persistent asthma due to superior anti-inflammatory efficacy over all other options.

  2. Which spirometry finding confirms a diagnosis of COPD per GOLD guidelines?

    Answer: FEV1/FVC ratio < 0.70 post-bronchodilator

    GOLD guidelines define COPD by a post-bronchodilator FEV1/FVC ratio below 0.70, confirming the presence of persistent airflow limitation.

  3. A patient using a metered-dose inhaler (MDI) reports poor symptom control. Which inhaler technique error MOST reduces drug delivery to the lungs?

    Answer: Inhaling too rapidly through the MDI

    Inhaling too rapidly causes turbulent airflow and oropharyngeal deposition, significantly reducing lung deposition with MDIs.

  4. Which combination inhaler is most appropriate as initial maintenance therapy for a COPD patient classified as GOLD Group B?

    Answer: LABA/LAMA combination

    GOLD guidelines recommend LABA/LAMA combination as preferred initial maintenance for Group B patients due to superior bronchodilation over monotherapy.

  5. An MTM pharmacist is counseling a patient who has both asthma and GERD. Which asthma medication may worsen GERD symptoms?

    Answer: Theophylline

    Theophylline relaxes the lower esophageal sphincter, which can worsen gastroesophageal reflux disease symptoms.

  6. What is the mechanism of action of tiotropium (Spiriva)?

    Answer: Muscarinic receptor antagonism

    Tiotropium is a long-acting muscarinic antagonist (LAMA) that blocks M3 receptors in bronchial smooth muscle to produce sustained bronchodilation.

  7. A patient requiring a short course of oral corticosteroids for an acute asthma exacerbation asks about side effects. Which adverse effect occurs MOST rapidly with short-term systemic steroid use?

    Answer: Hyperglycemia

    Hyperglycemia is the most common and rapidly occurring adverse effect with short-term systemic corticosteroid use, relevant for both diabetic and non-diabetic patients.