A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast (Singulair) to the child’s regimen. Which statement by the child’s parent indicates understanding of this medication?
I should notify my child’s pediatrician if I notice mood changes in my child.
I will give this medication to my child if I hear them wheezing.
This medication can cure my child’s asthma.
I should give this medication twice daily.
The Correct Answer is A
Choice A reason: Montelukast can cause mood changes or neuropsychiatric effects in children. Recognizing this side effect and notifying the pediatrician shows understanding, making this the correct statement.
Choice B reason: Montelukast is a daily maintenance drug, not for acute wheezing, which requires albuterol. This misunderstanding of its use makes it incorrect for proper administration.
Choice C reason: Montelukast controls asthma symptoms but does not cure asthma, a chronic condition. This incorrect belief about its purpose makes it wrong for understanding the medication.
Choice D reason: Montelukast is dosed once daily, typically at bedtime, not twice daily. This dosing error indicates a lack of understanding, making it incorrect for the parent’s statement.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Nighttime awakenings more than twice weekly indicate step 2, requiring maintenance therapy. Step 1 uses albuterol as needed, so this is incorrect.
Choice B reason: Twice-daily glucocorticoids are for step 2 or higher, not step 1, where albuterol is used as needed. This is incorrect for step 1 management.
Choice C reason: LABAs are used in step 3 or higher, not step 1, where albuterol alone is sufficient as needed. This is incorrect for the asthma step.
Choice D reason: At step 1, albuterol is used as a rescue inhaler for acute asthma symptoms. This is the standard approach, making it the correct choice.
Correct Answer is B
Explanation
Choice A reason: Agonists activate receptors, mimicking endogenous ligands, not preventing activation. The drug blocks receptors, so this is incorrect for the described action.
Choice B reason: Antagonists prevent receptor activation by blocking ligand binding, inhibiting effects. This matches the drug’s action, making it the correct term.
Choice C reason: Potent describes a drug’s strength, not its mechanism of preventing receptor activation. Antagonist defines the action, so this is incorrect.
Choice D reason: Selective refers to targeting specific receptors, not preventing activation. Antagonist describes the functional role, so this is incorrect.
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