Question 1

10 ml of a drug contains 25 mg of active ingredient. How many ml are needed for a 5 mg dose?

  1. 7 mL
  2. 2 mL
  3. 5 mL
  4. 4 mL

 

Question 2

A COPD patient is receiving a beta 2 agonist via a SVN. The RCP notes that the patient’s heart rate has increased from 75 bpm to 105 bpm during the treatment. What should the RCP do?

  1. Continue the treatment and monitor the patient
  2. Terminate the treatment and notify the physician
  3. Have the patient use a MDI instead of the SVN
  4. Switch to a different beta 2 agonist

 

Question 3

A confused, combative resident of a skilled nursing facility was administered an excessive dose of Diazepam (Valium). After administration of the drug, the patient cannot be awakened. Which of the following drugs is indicated in this situation?

  1. Triazolam (Halcion)
  2. Edrophonium (Tensilon)
  3. Flumazenil (Romazicon)
  4. Naloxone (Narcan)

 

Question 4

A mechanically ventilated patient who has been paralyzed with a neuromuscular blocking agent should be given a sedative agent for what reason?

  1. To relieve the patient’s anxiety
  2. To control pain
  3. To keep patient synchronized with the ventilator
  4. To sustain the paralysis

 

Question 5

A mechanically ventilated premature neonate (gestational age 31 weeks) is receiving Beracant (Survanta) for treatment of RDS. After administration of the drug, the neonate’s work of breathing decreases and chest x-ray improves. Which of the following should the RCP recommend?

  1. Increase the FiO2 on the mechanical ventilator
  2. Wait 24 hours, and administer Ribavirin via the SPAG II
  3. Suggest that ventilation via the oscillator be initiated
  4. Decrease the PIP on the mechanical ventilator

 

Question 6

A neonate is to be discharged with apnea monitoring in the home. Which of the following drugs would be prescribed to treat this condition?

  1. Beractant (Survanta)
  2. Nitric Oxide
  3. Montelukast (Singulair)
  4. Caffeine citrate (Cafcit)

 

Question 7

A patient had a bronchoscopy procedure and biopsy taken of a suspected lung tumor. After the biopsy, uncontrolled bleeding occurs. What should be given to control the bleeding?

  1. Instill epinephring through the bronchoscope at the site of the bleeding.
  2. Administer nebulized Albuterol by small volume nebulizer.
  3. Administer heparin if intravenous line.
  4. Administer lidocaine (Xylocaine) by an intravenous line

 

Question 8

A patient is admitted to the pulmonary floor with the diagnosis of Penumocystis carinnii pneumonia. After evaluating the patient, the RCP should suggest which of the following drugs to nebulizer for this patient?

  1. Gentamicin
  2. Pentamidine Isethionate
  3. Amphotericin B
  4. Penicllin G

 

Question 9

A patient is being resuscitated after a cardiac arrest. The resuscitation effort has been in progress for an extended time. The patient might benefit from which of the following at this time?

  1. Administration of a continuous lidocaine drip
  2. Administration of Morphine sulfate
  3. Administration of three defibrillation efforts at 300 joules
  4. Administration of sodium bicarbonate

 

Question 10

A patient presents to the ER after numerous bee stings. The patient is severely hypotensive and is determined to have anaphylaxis. Which of the following drugs would you recommend to treat this patient?

  1. Lidocaine
  2. Dopamine hydrochloride (Intropin)
  3. Sodium bicarbonate
  4. Nitroprusside (Nipride)
  5. Norephinephrine (Levophed)

 

Question 11

A patient presents to the ER with hypotension, episodes of syncope and a heart rate of 42 beats/min. Which of the following drugs would you recommend to treat this patient?

  1. Atropine
  2. Propranolol
  3. Digoxin
  4. Lidocaine

 

Question 12

A patient presents to the ER with severe dyspnea, rales in the lung bases, dry cough, and pitting edema. A chest x-ray reveals enlarged heart with moderate pleural effusion. Which of the following is indicated at this time?

  1. Administration of Lasix
  2. Administration of oxygen
  3. Administration of IV fluids
  4. Administration of Xopenex
  5. STAT electrolyte panel

 

Question 13

A patient receiving both Azmacort and Proventil is sent home with orders for both Azmacort and Proventil MDIs. What is most critical that the patient understand?

  1. That Proventil is also available in a nebulization solution
  2. That use of the MDIs may elicit a cough
  3. That Azmacort should be discontinued after wheezing stops
  4. That Azmacort will not help in acute attack

 

Question 14

A patient receiving both Azmacort and Proventil questions the practitioner about why both drugs are needed. The best answer is:

  1. The doctor ordered both to be taken once every night
  2. Proventil works quickly to relax your airways and Azmacort helps reduce the inflammation
  3. Azmacort usually causes bronchospasm, so we are giving you Proventil to treat this side effect
  4. “Azmacort treats wheezing and Proventil prevents future asthma attacks

 

Question 15

A patient whose cholinergic activity (suppression of the PNS) in the lungs was blocked would be expected to experience which response?

  1. Decreased pulmonary blood flow
  2. Bronchoconstriction
  3. Hypersecretion of the globlet cells
  4. Bronchodilation

 

Question 16

A physician has ordered a 0.20 ml dose of Isuprel (1:200) to be given. How many mg of active ingredient is this?

  1. 1 mg
  2. 1.5 mg
  3. .05 mg
  4. 2 mg

 

Question 17

A physician orders 3 mg of dexamethasone. If it is available in a solution of 4mg/ml, how many milliliters should you give?

  1. 0.75 ml
  2. 3 ml
  3. 0.85 ml
  4. 8.5 ml

 

Question 18

A stock bottle of racemic epinephrine has a concentration of 2.25%. How much of this solution is needed in order to obtain 10 mg of active ingredient?

  1. 0.22 ml
  2. 0.75 ml
  3. 0.44 ml
  4. 0.33 ml

 

Question 19

Aerosol racemic epinephrine is helpful in laryngeal edema and bleeding because it stimulates which of the following receptors?

  1. Beta 1
  2. Alpha
  3. All of the above
  4. Beta 2
Question 20

An adult male asthmatic is receiving 1.25 mg of a.5% solution of Proventil with 3 cc of normal saline via a SVN QID. His wheezing diminishes but does not completely clear following the treatment. What should the RCP recommend in this situation?

  1. Increase the dose of Proventil to 2.5 mg
  2. Increase the frequency of the therapy to Q2 hours
  3. Change to a 1% solution of Proventil
  4. Change to Alupent via a MDI

 

Question 21

An asthmatic patient is about to be discharged from the hospital. What information must the CRT give the patient before the patient leaves the hospital?

  1. How to avoid asthma triggers
  2. How to use metered-dose inhalers (MDI)
  3. How to determine which peak flow meter test is best
  4. How to taper oral corticosteroids

 

Question 22

During therapeutic bronchoscopy for removal of secretions, the pulmonologist is having difficulty aspirating secretions because of their extremely thick, tenacious character. To aid in removal you would recommend?

  1. Epinephrine
  2. Acetylcysteine
  3. Xylocaine
  4. Albuterol

 

Question 23

If nebulized Mucomyst is ordered for an asthmatic patient, what other mediation(s) should be simultaneously administered?

  1. Neo-Synephrine
  2. Cromolyn sodium
  3. Antihistamine
  4. Levalbuterol

 

Question 24

In ACLS, which of the following drugs can be safely and effectively administered via the endotracheal tube?

  1. Atropine
  2. Propranolol
  3. Lidocaine
  4. Dopamine
  5. Epinephrine

 

Question 25

In order to facilitate endotracheal inbuation, a patient is paralyzed with Pavulon. Following intubation, you wish to reverse the paralysis. You would administer:

  1. Succinylcholine chloride
  2. Any of the above
  3. Atropine
  4. Neostigmine bromide (Prostigmin)

 

Question 26

In which of the following anticholinergic bronchodilators would the RCP give instructions to patient for proper DPI use?

  1. Spiriva
  2. DuoNeb
  3. Atrovent
  4. Combivent

 

Question 27

Positive inotrophic drugs have which of the following effects?

  1. Increased strength of cardiac contraction
  2. Decreased electrical conductivity of the heart
  3. Decreased heart rate
  4. Decreased strength of cardiac contraction

 

Question 28

Naloxone (Narcan) would be an affective antagonist for which of the following?

  1. Morphine
  2. Valium
  3. Heroin
  4. Pentobarbital sodium (Nembutal)
  5. Codeine

 

Question 29

Of the following sedative agents, which are considered barbituates?

  1. Chloral hydrate (Noctec)
  2. Pentobarbital sodium (Nembutal)
  3. Diazepam (Valium)
  4. Phenobarbital (Luminol)
  5. Thiopental sodium (Pentothal)

 

Question 30

Sputum induction has been ordered for a newly admitted patient with tuberculosis. The patient is a 37-year-old male in no acute distress. Which of the following techniques should the RCP attempt first to collect the sputum?

  1. Use 6 cc of 20% mucomyst and SVN
  2. Use a nasal trumpet and NT suction the patient
  3. Use a bronchodilator and encourage vigorous coughing
  4. Use a hypertonic saline solution and SVN

 

Question 31

The physician has just determined airway responsiveness to bronchodilator therapy in a COPD patient. He asks the RCP to recommend a bronchodilator for long-term use. Which of the following bronchodilators should the RCP recommend at this time?

  1. Ipratropium bromide
  2. Bitolteral sulfate
  3. Metaproterenol sulfate
  4. Albuterol sulfate

 

Question 32

Which disease state is consistently treated with aerosolized antibiotics such as TOBI?

  1. Acute bronchitis
  2. Asthma
  3. Cystic fibrosis
  4. COPD

 

Question 33

Which of the following adrenergic bronchodilators is available in both a SVN and MDI formulation?

  1. Levalbuterol
  2. Raceminc epinephrine
  3. Albuterol
  4. Serevent
  5. Epinephrine

 

Question 34

Which of the following are considered effective antituberculosis drugs?

  1. Gentamicin
  2. Isoniazid
  3. Streptomycin
  4. Ethambutal
  5. Rifampin

 

Question 35

Which of the following best describes Cromolyn sodium (Intal)?

  1. Available as MDI and SVN
  2. Should be recommended to used in acute asthma attacks
  3. SVN solution is available as a 20 mg vial
  4. Is considered an asthma controller drug

 

Question 36

Which of the following best describes Dornase alfa?

  1. Trade name is Pulmozyme
  2. Available as a MDI
  3. Available as a SVN solution in a 2.5 mg ampule
  4. Is indicated as a mucolytic for patients with cystic fibrosis

 

Question 37

Which of the following can be used to decrease the viscosity of secretions?

  1. Potassium iodide
  2. Acetylcysteine
  3. Dornase alfa
  4. Normal saline

 

Question 38

Which of the following corticosteroids are available in a MDI formulation?

  1. Ziletuon (Zyflo)
  2. Beclomethasone (Qvar)
  3. Nedocromil sodium (Tilade)
  4. Triamcinolone acetonide (Azmacort)
  5. Fluticasone propionate (Flovent)

 

Question 39

Which of the following is an inotropic agent useful in the treatment of hypotensive patients who have organic heart disease (heart failure)?

  1. Procainamide
  2. Atropine sulfate
  3. Dobutamine hydrochloride (Dobutrex)
  4. Nitroglycerin

 

Question 40

Which of the following is indicated for a patient in hypertensive crisis?

  1. Dopamine hydrochloride (Intropin)
  2. Dobutamine hydrochloride (Dobutrex)
  3. Nitroprusside (Nipride)
  4. Sodium bicarbonate

 

Question 41

Which of the following is the most appropriate first-line pharmacologic agent for a COPD patient with severe hypoxemia?

  1. Furosemide
  2. Xopenex
  3. Mannitol
  4. Oxygen

 

Question 42

Which of the following is true regarding Morphine sulfate?

  1. his drug can lead to respiratory depression if high doses are given
  2. This drug is used to treat pain associated with a MI
  3. This drug causes vasoconstriction and should not be given to patients with pulmonary edema
  4. This drug cannot be reversed and should be avoided in COPD patients

 

Question 43

Which of the following is true regarding the nondepolarizing blocker Pancuronium bromide (Pavulon)?

  1. This drug has a long duration of action
  2. This drug can produce a cardiac arrhythmia
  3. This drug last for approximately 15 minutes
  4. This drug can be reversed with Neostigmine bromide (Prostigmin)
  5. This drug removes patient’s perception of pain

 

Question 44

Which of the following osmotic diuretics are indicated to reduce cerebral edema?

  1. Chlorothiazide (Diuril)
  2. Mannitol (Osmitrol)
  3. Furosemide (Lasix)
  4. Sterile urea (Ureaphil)

 

Question 45

Which of the following pharmacologic agents is indicated in the treatment of a patient with status asthmaticus?

  1. Acetylcysteine
  2. Cromolyn sodium
  3. Levalbuterol
  4. Aminophylline
  5. Methylpredinisolone (Solu-Medrol)

 

Question 46

Which of the following reactions may occur when using aerosolized corticosteroids for a local effect?

  1. Adult-onset diabetes
  2. Pulmonary aspergillosis
  3. Oral fungal infections
  4. Delayed healing

 

Question 47

Which of the following should be stressed when instructing a patient on systemic corticosteroids in the use of aerosolized steroids?

  1. Use the MDI steroids only when symptoms are severe
  2. Taper systemic steroid use gradually under a physician’s supervision
  3. Alternate MDI steroids with other antiasthmatic drugs
  4. Adjust dosage and frequency according to how it “feels”

 

Question 48

While recording the results of an aerosolized Beta 2 agonist treatment, the RCP erroneously wrote the trade name of the wrong Beta 2 agonist. What should the RCP do in this situation?

  1. Use correction fluid on the wrong trade name and write in the name of the correct medication
  2. Leave the trade name written, because it is also classified as a Beta 2 agonist
  3. Erase the wrong trade name and write in the correct drug
  4. Draw a horizontal line through the incorrect trade name, print “error” above it, and continue charting
Question 49

You are called to the ER to intubate a MVA victim with numerous injuries including chest wall trauma. The patient is very combative. Which of the following drugs would be helpful in performing the intubation?

  1. Succinylcholine chloride (Anectine)
  2. Diazepam (Valium)
  3. Midazolam (Versed)
  4. Furosemide (Lasix)
  5. Nedocromil sodium (Tilade)

 

Question 50

You receive an order to administer a sympathomimetic bronchodilator to a patient with pneumonia. The patient has never needed prior bronchodilator therapy. Common side effects to be aware of include:

  1. Nervousness
  2. Trembling hands
  3. Headache
  4. Decreased heart rate