Please answer each of the following questions and press the Submit button. You can submit your results by using the information provided on the next page.
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1. Levalbuterol produces equivalent bronchodilation to racemic albuterol when given at one fourth the dose.

 A. True
 B. False


2. When managed according to a standardized, assessment driven care path, hospitalized asthmatic children require fewer treatments and have improved outcomes compared to routine care.

 A. True
 B. False


3. Montelukast is now approved for use in the treatment of childhood asthma down to two years of age:

 A. True
 B. False


4. The advantages of combination inhaled steroid and long acting beta2-adrenergic agonist over either one of the individual components include all EXCEPT:

 A. Lower incidence of acute exacerbations
 B. Higher FEV sub 1
 C. Reduced symptoms
 D. Greater anti-inflammatory effect


5. Budesonide nebulizing suspension can be mixed with all medications EXCEPT:

 A. Albuterol
 B. Cromolyn
 C. Atropine
 D. Levalbuterol


6. Clinical studies indicate that in the treatment of childhood asthma, nebulized budesonide suspension offers all of the following advantages over as needed B2-adrenergic agonists EXCEPT:

 A. Reduced symptoms
 B. Improved growth
 C. Improved pulmonary function
 D. Less rescue therapy


7. It is now known that early intervention with inhaled steroids will alter the natural history of asthma.

 A. True
 B. False


8. Which of the following albuterol products should not be used for treating acute bronchospams?

 A. Ventolin Nebules
 B. Screwcap unit dose (Proventil or generic)
 C. Xopenex
 D. Alpharma generic unit does sterile filled vials
 E. Dey generic unit dose sterile filled vials


9. Which of the following is the only way that an allergist can ensure that a patient does not recieve and albuterol product containing high concentrations of the bronchoconstriction additive, benzalkonium chloride?

 A. Tell patient to use an independen pharmacy rather than a chain pharmacy
 B. Mark the prescription "no benzalkonium" and "no substition" or whatever is the convention for no substitution
 C. Mark the prescription "no benzalkonium"
 D. Prescribe the multidose dropper formulation of albuterol (0.5%) with a separate prescription for sterile normal saline to dilute albuterol
 E. Tell the patient not to take an albuterol product containing benzalkonium


10. Which agent is a bronchodilator in asthma management?

 A. Ipatropium Bromide
 B. Budesonide
 C. Cromolyn
 D. Nedocromil


11. An FDA approved combination agent is albuterol/ipatropium bromide

 A. True
 B. False