MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
What inhaler type would you recommend for a patient with one exacerbation in last year and daily activity is no limited in any way but a history of asthma as a child
A
Salbutamol
B
Formoterol
C
LAMA
D
LABA/LAMA
E
LABA/LAMA/ICS
Explanation: 

Detailed explanation-1: -All asthma attacks require treatment with a quick-acting (rescue) inhaler such as albuterol.

Detailed explanation-2: -Inhaled bronchodilators (beta-2 agonists and anticholinergics) are the mainstay of asthma treatment in the emergency department. In adults and older children, albuterol given by a metered-dose inhaler (MDI) and spacer is as effective as that given by nebulizer.

Detailed explanation-3: -Patients with a mild-to-moderate asthma exacerbation can be safely treated as an out-patient (Fig. 1). These patients should be treated with albuterol 4–10 inhalations via pressurized metered-dose inhaler every 20 min for 1 h or a single nebulizer treatment (2.5 mg albuterol).

Detailed explanation-4: -The mainstay of treatment during the acute attack is supplementary oxygen, repeated inhaled bronchodilator and systemic corticosteroids (table 5).

There is 1 question to complete.