Beneficial effects of glucocorticoids on -adrenergic receptors include
a. restoration of responsiveness.
b. increase in the number of receptors on the cell surface.
c. increasing affinity of the receptor for agonists.
d. all of the above.
Q. 2 Use of systemic corticosteroids may cause which of the following side effects? 1. Fluid retention 2. Increased white blood cell count 3. HPA suppression 4. Increased endogenous steroid production
a. 1 and 4 only
b. 1, 2, and 4 only
c. 2 and 4 only
d. 1, 2, and 3 only
Q. 3 Causes of airway inflammation include which of the following? 1. HPA suppression 2. Trauma 3. Chronic bronchitis 4. Asthma
a. 1 and 4 only
b. 3 and 4 only
c. 2, 3, and 4 only
d. 1, 2, 3, and 4
Q. 4 Your patient has an elevated white blood cell (WBC) count but no signs or symptoms of infection. She uses albuterol and salmeterol and is currently taking a glucocorticoid. What is the most likely cause of her elevated WBC count?
a. Albuterol
b. Salmeterol metered dose inhaler
c. Glucocorticoid
d. None of the above
Q. 5 Your patient tells you that she is having chest tightness and wheezing four to six times per week, plus she wakes up with chest tightness and wheezing about once per week. She uses albuterol each time, with relief.
She is taking no other medication except her albuterol MDI. What other medication would you suggest be prescribed to her?
a. Levalbuterol MDI
b. Salmeterol MDI
c. Beclomethasone MDI
d. Oral tobramycin
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