MTM Respiratory Disease Management 1

Question 1

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

Accepted Answer

Inhaled corticosteroid (ICS)

Answer

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

Question 2

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

Accepted Answer

FEV1/FVC ratio < 0.70 post-bronchodilator

Answer

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

Question 3

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

Accepted Answer

Inhaling too rapidly through the MDI

Answer

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

Question 4

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

Accepted Answer

LABA/LAMA combination

Answer

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

Question 5

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

Accepted Answer

Theophylline

Answer

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

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Respiratory Disease Management 1