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Chapter 31 Asthma Sample Questions

1. AB is an 8-year-old girl diagnosed with mild to moderate asthma. According to AB’s mom, AB usually experiences cough and shortness of breath at bedtime. AB would wake up early in the morning from sleep due to cough. FEV1 is 79% at presentation. She is given salbutamol 2 puffs TID–QID PRN as needed, fluticasone propionate MDI 50–100 mcg BID, and montelukast 5 mg chewable at bedtime. All of the following are true about montelukast, EXCEPT:
  1. A. Take with or after food.
  2. B. Used for asthma control before physical exercises.
  3. C. Take daily at bedtime (QHS).
  4. D. For kids 2 years old or older.
Answer
Ans: B
Tips: Montelukast Monograph. Indication includes adult and pediatric patients 2 years of age and older for the prophylaxis and chronic treatment of asthma, including prevention of day- and night-time symptoms, the treatment of acetylsalicylic acid (ASA)-sensitive asthmatic patients, and the prevention of exercise-induced bronchoconstriction. Administration is once daily in the evening with or without food.
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