Download ID_1402_General and applied aspects of_English_sem_9

1.
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A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse why she is receiving
codeine when she does not have any pain. The nurse's response is based on knowledge that codeine
also has what effect?
Immunostimulant.
Antitussive.
Expectorant.
Immunosuppressant.
Antihistamine.
Mother, whose child suffered from dry cough that did not let her to sleep at night, consulted a
pediatrician. What preparation can’t be used in such case?
Libexyn.
Tusuprex.
Codeine.
Bromhexyn.
Acetylcistein.
An 81-year-old female with arteriosclerotic heart disease and pulmonaryemphysema was found to
have significant bronchospasm. Her physician prescribed theophylline 400 mg every 12 hours. All of
the following toxicities may be observed EXCEPT:
cardiac arrhythmias
nausea
agitation
sodium and water retention
vomiting
When comparing the relative adrenergic effects of the following drugs, the one which would have
the least bronchodilatation effect at normal doses is:
terbutaline
epinephrine
isoproterenol
isoetharine
norepinephrine.
The combination of hydralazine and nitrates has been shown to improve survival in patients of heart
failure. All of the following statements about this combination are true except:
The combination serves to decrease both afterload and preload.
Prazosin is as effective as the combination in treatment of congestive heart failure.
The concept of afterload reduction is principally derived from patients of significant mitral
regurgitation.
The VA cooperative study was a landmark trial demonstrating the beneficial effect of hydralazine
and nitrate combination in patients of heart failure.
None of the above
Exercise-induced ventricular tachycardia in persons without overt cardiac disease is an example of
delayed after-depolarizations and is characterized by an increase in intracellular ionized calcium.This
type of arrhythmia is known to often respond well to which of the following combinations?
Beta-Blocker and ACE inhibitor
Calcium channel antagonist and ACE inhibitor
Beta-blocker and ACE inhibitor
Beta-blocker and calcium channel antagonist
Alpa-blocker and calcium channel antagonist
Metoprolol would produce which beneficial effect in a patient with secondary angina?
A.
B.
C.
D. *
E.
8.
A.
B.
C. *
D.
E.
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C.
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C.
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E.
13.
A.
A decrease in preload
An increase in collateral blood flow
An increase in afterload
An increase in diastolic filling time
An increase in blood flow through a concentric stenosis
Although most antiarrhythmic drugs (and indeed most drugs) are chemically synthesized, some
compounds that occur endogenously in humans are useful. Indicate which of the following agents
occurs endogenously and is a useful antiarrhythmic agent.
Phenytoin
Digoxin
Adenosine
Quinine
Lidocaine
A patient comes to your office with effort-induced angina and resting tachycardia.You choose the
following drug to treat the patient because it slows heart rate by blocking L-type calcium channels in
the SA node:
Verapamil
Propranolol
Nitroglycerin
Isosorbide dinitrate
Metoprolol
Which of the following hemodynamic effects of nitroglycerin are primarily responsible for the
beneficial results observed in patients with secondary angina?
Reduction in the force of myocardial contraction
Reduction in systemic vascular resistance (afterload)
Increased heart rate
Reduction in venous capacitance (preload)
Increased blood flow to the subepicardium
A woman is prescribed a combination of drugs consisting of a nitroglycerin patch and a beta-blocker,
such as propranolol, to treat her attacks of secondary angina.Which effect of propranolol would
counteract an adverse effect of nitroglycerin?
A decrease in preload
A decrease in afterload
A decrease in heart rate
An increase in myocardial contractile force
A reduction in coronary vasospasm
A patient who has been taking propranolol for a long period for secondary angina comes to your
office complaining of increased frequency of chest pains on exertion.You decide to stop the
propranolol and give him diltiazem because you suspect he has a mixture of secondary and primary
angina. Why would diltiazem be more likely to relieve the angina if your new diagnosis is accurate?
Diltiazem produces a decrease in heart rate.
Diltiazem dilates coronary blood vessels in spasm.
Diltiazem produces AV blockade.
Diltiazem reduces myocardial contractility.
Diltiazem reduces afterload.
Which of the following calcium channel blockers would be most likely to suppress atrial
tachyarrhythmias involving the A-V node?
Nifedipine
B. *
C.
D.
E.
14.
A.
B.
C. *
D.
E.
15.
A. *
B.
C.
D.
E.
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B.
C.
D.
E.
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A.
B.
C. *
D.
E.
18.
A.
B.
C.
D.
E. *
19.
A.
B.
C.
Verapamil
Nicardipine
Amlodipine
Nimodipine
All of the following statements regarding the pharmacokinetics of calcium channel blockers are
correct EXCEPT
They are characterized by significant amount (~ 90%) of protein binding.
They undergo significant first-pass metabolism.
Their half-life is not altered by hepatic cirrhosis.
They can be administered orally.
All of the above
All of the following adverse effects are likely to occur with long-term use of calcium channel
blockers EXCEPT
Skeletal muscle weakness
Flushing
Dizziness
Headache
None of the above
A 55-year-old patient has been referred to you. She complains about a skin rash and a cough. In the
course of history taking, she tells you that she takes high blood pressure medication but she doesn’t
remember the name.You suspect a drug toxicity. Which of the following antihypertensive agents is
the patient most likely taking?
Captopril
Nifedipine
Prazosin
Propanolol
Clonidine
Which of the following compounds depends least upon the release of EDRF (nitric oxide) from
endothelial cells to cause vasodilation?
Bradykinin
Histamine
Minoxidil
Hydralazine
Acetylcholine
When a patient is treated with a thiazide diuretic for hypertension, all of the following are likely
EXCEPT:
The fall of blood pressure that occurs in the first 2 weeks of therapy results from a decrease of
extracellular volume.
The sustained fall in blood pressure that occurs after several weeks of therapy is due to a decrease of
intravascular resistance.
After the blood pressure is reduced, hypokalemia remains a complication.
Hyperuricemia may occur.
Hypoglycemia may occur.
Furosemide increases the excretion of all of the following EXCEPT:
Na+
K+
Ca++
D.
E. *
20.
A.
B.
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E.
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C.
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26.
Mg++
Uric acid
Which of the following drugs is an appropriate initial antihypertensive therapy in an otherwise
healthy adult with mild hypertension?
Bumetanide
Triamterene
Hydrochlorothiazide
Aldactone
Furosemid
When furosemide is administered to a patient with pulmonary edema, there is often symptomatic
relief within 5 minutes of starting treatment.This relief is primarily due to:
A rapid diuretic effect
An increase in venous capacitance
A direct effect on myocardial contractility
Psychological effects
All of the above
A 60-year-old man with unstable angina pectoris fails to respond to heparin, nitroglycerin, beta
adrenegic blockers and calcium channel antagonisst. What is the best treatment for this patient?
Aspirin, orally
Coronary artery bypass grafting
Antihypertensive therapy
Intravenous strpetokinase
Excercise testing
A 5-year-old child had an attack of palpitation with nausea, dizziness, generalized fatigue. On ECG:
tachycardia with heartbeat rate of 220/min. Ventricle complexes are deformed and widened. P wave
is absent. What medication is to be prescribed to provide first aid?
Lydocain
Seduxen
Novocainamides
Strophantin
Isoptin
A 46-year-old patient has ischemic heart disease, angina on exertion, II functional class. What is the
drug of choice in treatment of acute attack?
Nitroglycerin sublingually
Platelet inhibiting agents (aspirin)
Spasmolitics (No-spa) IV
Digitalis IV
Sedative agents (Seduxenum) orally
A 52-year-old patient complains of intensive and prolonged retrosternal pains, decreased exercise
tolerance for 5 days. Which of the following groops is the most useful?
nitrates
dyslipidemic drugs
diuretics
ACE inhibitors
digitalis
A 50-year-old patient was admitted to resusitation department with aqute myocardial infarction .
Which one of the following drugs is uneffective in this case?
A.
B.
C. *
D.
E.
27.
A. *
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C.
D.
E.
28.
A. *
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29.
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30.
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31.
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32.
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C.
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Proranolol
Nitroglycerin
Nifedipine
Phentanyl
Morfin
A 54-year-old patient, who suffers from IHD, stable stenocardia II, heart insufficiency I, has an
attack of ventricular tachycardia, Ps 180/min, AP – 80/50 mm Hg. Choose a correct treatment:
Lidocain, potassium chloride
Mezaton, strofantin
Verapamil, potassium chloride
Digoxin
ATP, cordaron
A 55-year-old men has stenocardia on exertion II. Taking of nitroglycerin potentiate a sever
headache. Which of the following drugs is the most useful in this case?
Molsidomin
Amiodaron
Nifedipine
Propranolol
Verapamil
A 49-year-old patient has ischemic heart disease, angina on exertion, II functional class. What is the
drug of choice in treatment of acute attack?
No-spa IV
Aspirin
Digitalis IV
Nitroglycerin sublingually
Seduxenum orally
A patient of 42 year has arterial hypertension with bradyarrhythmia. Which of the following drugs is
necessary to administer?
Klonidine
Bisoprolol
Nifedipine
Diltiazem
Methyldopa
A 58-year-old women, who suffers from IHD, stenocardia on exertion II, heart insufficiency I, has an
attack of ventricular tachycardia, Ps 180/min, AP – 80/50 mm Hg. Choose a correct treatment:
Digoxin, mezaton
Lidocain, potassium chloride
Verapamil, potassium chloride
Digoxin
ATP, cordaron
A 55-year-old men has stenocardia on exertion II. Taking of nitroglycerin potentiate a sever
headache. Which of the following drugs is the most useful in this case?
Aspirin
Molsidomin
Captopril
Propranolol
Verapamil
33.
A.
B. *
C.
D.
E.
34.
A. *
B.
C.
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E.
35.
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B.
C.
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E.
36.
A. *
B.
C.
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E.
37.
A.
B.
C.
D.
E. *
38.
A. *
B.
C.
D.
E.
39.
A.
A 6 month old patient who is in the ICU following cardiac surgery for a congenital defect develops
atrial flutter with an atrial rate of 300 beats/min and second degreee (2:1) AV node block. A 3rd year
medical student inadvertantly administers quinidine, instead of propranolol,and the patient's
ventricular rate skyrockets to 300 beats/min. The patient faints. This most likely occured because
aquinidine
partial beta
is: agonist
antimuscarinic
a sodium channel blocker
a potassium channel blocker
able to increase vagal tone
A 45-year-old women with diagnosis: Paroxysmal arrhythmia. Arterial hypertension II. Drug of
choice for stopping attack:
Anaprilin
Nitroglycerin
Potassium chloride
Digoxin
Lidocain
A patient has arterial hypertension with bradyarrhythmia. Which of the following drugs is necessary
to administer?
Nifedipine
Klonidine.
Propranolol
Diltiazem
Methyldopa
A patient has bronchial asthma for a long time. Angina pectoris attacks have appeared recently
Which of the following drugs is contraindicated?
Propranolol
Nitroglycerin
Nifedipine
Lovastatin
Aspirin
A 64-year-old patient, who suffers from IHD, stable stenocardia II functional class, heart
insufficiency I, has an attack of ventricular tachycardia, Ps 180/min, AP – 80/50 mm Hg. Choose a
correct
treatment:
ATP, cordaron
Mezaton, strofantin
Verapamil, potassium chloride
Digoxin
Lidocain, potassium chloride
A 45-year-old men with diagnosis: Paroxysmal arrhythmia. Arterial hypertension II. Drug of
choice for stopping attack:
Metoprolol
Nitroglycerin
Potassium chloride
Digoxin
Lidocain
A patient of 42 year has arterial hypertension with bradyarrhythmia. Which of the following drugs is
necessary to administer?
Klonidine
B. *
C.
D.
E.
40.
A. *
B.
C.
D.
E.
41.
A.
B. *
C.
D.
E.
42.
A. *
B.
C.
D.
E.
43.
A.
B.
C. *
D.
E.
44.
A.
B.
C.
D. *
E.
45.
A.
B. *
C.
D.
E.
46.
Nifedipine
Bisoprolol
Diltiazem
Methyldopa
A patient has bronchial asthma for a long time. Angina pectoris attacks have appeared recently.
Which of the following drugs is contraindicated?
Propranolol
Molsidomin
Nifedipine
Carvedilol
Aspirin
A 65-year-old woman with unstable angina pectoris fails to respond to heparin, nitroglycerin, beta
adrenegic blockers and calcium channel antagonists. What is the best treatment for this patient?
Intravenous strpetokinase
Coronary artery bypass grafting
Antihypertensive therapy
Aspirin, orally
Excercise testing
A 49-year-old women with diagnosis: Paroxysmal arrhythmia. Arterial hypertension II, heart
insufficiency 0. Introduce drug of choice for stopping attack:
Metoprolol
Nitroglycerin
Potassium chloride
Digoxin
Lidocain
A patient suffers from arterial hypertension with bradyarrhythmia. Which of the following drugs is
necessary to administer?
Atenolol
Furosemid.
Nifedipine
Diltiazem
Methyldopa
A patient has chronic obstructive pulmonary desease for a long time. Angina pectoris attacks have
appeared recently. Which of the following drugs is contraindicated?
Nifedipine
Isosorbide dinitrate
Lovastatin
Propranolol
Aspirin
A woman 56 years old with hypertension edema develops on lower extremities, moist wheezes in
the lower parts of lungs. What must be administered in the complex therapy of the patient?
Beta-adrenomimetics,
Diuretics,
Glucocorticoids,
Preparations of calcium,
M-cholinolitics.
A woman 51 years old has arterial hypertension. Which group of drugs may be used for her
treatment?
A.
B. *
C.
D.
E.
47.
A.
B.
C.
D. *
E.
48.
A.
B.
C. *
D.
E.
49.
A.
B.
C.
D.
E. *
50.
A.
B. *
C.
D.
E.
51.
A.
B.
C. *
D.
E.
Betaadrenomimetics,
Angiotensin-converting enzyme inhibitors,
Glucocorticoids,
Preparations of calcium,
M-cholinolitics.
A man 36, years old, has arterial hypertension. Which group of drugs may be used for her
treatment?
Beta-adrenomimetics
Preparations of calcium,
Glucocorticoids,
Calcium-channel inhibitors,
M-cholinolitics.
Patients suffering from congestive heart failure will show signs and symptoms of peripheral
vasoconstriction, moist skin, pale complextion because of:
Na and water retention
decreased renin release
increased sympathetic tone
decreased vagal tone
decreased aldosterone levels
A 67 year old patient with a history of heart disease presents to the ER with chronic atrial fibrillation,
an average ventricular rate of 120-140 beats/min, and an ejection fraction of 35 %. The best drug for
controlling his ventricular rate would be:
propranolol
quinidine
nifedipine
diltiazem
digoxin
A 76 year old patient being treated with digoxin, captopril and furosemide for systolic heart failure
and hypertension presents to the ER with complaints of dizziness and fatigue. The patient faints
immediately after an ECG recording indicates the presence of sinus bradycardia and intermittent 3rd
degree AV conduction block. The most likely explanation for this patient's rhythm disturbance is:
captopril overdose
increased vagal tone caused by digoxin
decreased vagal tone caused by furosemide
increased sympathetic tone caused by digoxin
hyperkalemia caused by furosemide
A 59 year old patient with a history of systolic heart failure arrives in the ER with complaints of chest
palpitations, nausea and GI upset. His chart indicates that he is currently taking digoxin, captopril,
metoprolol and furosemide. A 12 lead ECG is recorded and reveals the presence of frequent runs of
ventricular bigeminy. His echocardiogram indicates an ejection fraction of 40%. His blood tests
indicate a serum potassium level of 4.0 mM, and an elevated digoxin level of 2.2 ng/ml. The most
appropriate drug for treating this patient's arrhythmia
would be:
propranolol
quinidine
lidocaine
verapamil
atropine
52.
A.
B.
C.
D. *
E.
53.
A.
B. *
C.
D.
E.
54.
A.
B.
C.
D.
E. *
55.
A.
B.
C. *
D.
E.
56.
A.
B. *
C.
D.
E.
57.
A. *
B.
C.
D.
E.
A patient being treated for heart failure with digoxin and furosemide is discharged from the hospital
after being initiated on quinidine therapy to reduce the incidence of atrial tachyarrhythmias. The next
day the patient reappears in your office complaining of fatigue, visual difficulties and nausea. The
patient's ECG reveals a prolong PR interval, with occasional runs of bigeminy and 2nd degree
(Mobitz type I) AV conduction block. The most likely cause of these symptoms is:
furosemide induced hyperkalemia
an interaction between quinidine and furosemide
worsening heart failure
an interaction between quinidine and digoxin
quinidine toxicity
The 56 years old woman with hypertensive disease appealed to the doctor. Methyldopa was
prescribed to her. Indicate a mechanism of action of this drug.
Violation of noradrenalin synthesis
alpha-adrenoreceptors blockers
Block of beta-adrenoreceptors
Depression of angiotensin converting enzyme activity
Increasing of acetylcholine synthesis
In the complex medical treatment of hypertensive disease a diuretic was prescribed to the patient. In a
few days the BP went down, but the signs of hypokaliaemia arose up. What drug could cause such
complication?
Triamterene
Clofeline
С. Enalapril
Spironolactone
Furosemide
The patient has cranial trauma. The brain edema threat developed in the postoperative period. To
prescribe drug for the removal of this complication.
Spironolactone
Papaverini hydrochloride
Furosemide
Dihlothiazid
Diacarb
In the patient with the considerable peripheral edema the by turns using of dihlothiazid, ethacrynic
acid and furosemide did not result in the considerable diuretic effect. The analysis of blood indicated
the considerable increasing of aldosteron level. Prescribe drug for treatment.
Mannitol
Spironolactone
Clopamid
Triamterene
Amiloride
To the 55 years old man for the medical treatment of gout was prescribed etamid. What is the
mechanism of uric actions of the drug?
Depression of reabsorbing of urinary acid
Increasing of secretion of urinary acid
Decreasing of production of urinary acid
Depression of activity of xantinoxydase
Production of easy soluble salts
58.
A. *
B.
C.
D.
E.
59.
A.
B.
C.
D. *
E.
60.
A.
B. *
C.
D.
E.
61.
A.
B.
C.
D.
E. *
62.
A.
B.
C. *
D.
E.
63.
A.
B.
C.
D.
E. *
At the 46 years old patient with blink arrhythmia the edema of lungs began. What drug is necessary
to inject in the first turn?
Furosemide
Triamterene
Verospirone
Amiloride
Euphylline
To the patient with edema of cardiac origin the doctor must prescribe diuretics. What drugs are
contraindicated in this situation?
Hypothiazide
Spironolactone
Furosemide
Mannitol
Diacarb
In the patient with the considerable peripheral edema using of dihlothiazid did not result in the
considerable diuretic effect. The analysis of blood indicated the considerable increasing of aldosteron
level. Prescribe drug for treatment in this situation.
Mannitol
Spironolactone
Ethacrynic acid
Furosemide
Diacarb
In the complex medical treatment of hypertensive disease a diuretic was prescribed to the patient. In a
few days the BP went down, but the signs of hypokaliaemia arose up. What drug could cause such
complication?
Triamterene
Clofeline
Enalapril
Spironolactone
Furosemide
Patients suffering from congestive heart failure will show signs and symptoms of peripheral
vasoconstriction, moist skin, pale complextion because of:
Na and water retention
decreased renin release
increased sympathetic tone
decreased vagal tone
decreased aldosterone levels
A 67 year old patient with a history of heart disease presents to the ER with chronic atrial fibrillation,
an average ventricular rate of 120-140 beats/min, and an ejection fraction of 35%. The best drug for
controlling his ventricular rate would be: propranolol
verapamil
quinidine
nifedipine
diltiazem
digoxin
64.
A.
B. *
C.
D.
E.
65.
A.
B.
C.
D. *
E.
66.
A.
B. *
C.
D.
E.
67.
A.
B. *
C.
D.
E.
68.
A.
B.
C.
D. *
E.
69.
A 76 year old patient being treated with digoxin, captopril and furosemide for systolic heart failure
and hypertension presents to the ER with complaints of dizziness and fatigue. The patient faints
immediately after an ECG recording indicates the presence of sinus bradycardia and intermittent 3rd
degree AV conduction block. The most likely explanation for this patient's rhythm disturbance is:
captopril overdose
increased vagal tone caused by digoxin
decreased vagal tone caused by furosemide
increased sympathetic tone caused by digoxin
hyperkalemia caused by furosemide
A patient being treated for heart failure with digoxin and furosemide is discharged from the hospital
after being initiated on quinidine therapy to reduce the incidence of atrial tachyarrhythmias. The next
day the patient reappears in your office complaining of fatigue, visual difficulties and nausea. The
patient's ECG reveals a prolong PR interval, with occasional runs of bigeminy and 2nd degree
(Mobitz type I) AV conduction block. The most likely cause of these symptoms is:
furosemide induced hyperkalemia
an interaction between quinidine and furosemide
worsening heart failure
an interaction between quinidine and digoxin
quinidine toxicity
An elderly male patient has essential hypertension, congestive heart failure, and type I
insulin-dependent diabetes. His congestive failure developed secondary to coronary vascular disease
associated with hyperlipidemia. What antihypertensive drug(s) may be most appropriate for this
Chlorothiazide
(Diuril)
patient?
captopril (Capoten)
propranolol (Inderal)
metoprolol (Lopressor)
none of the above
An elderly male patient has essential hypertension, congestive heart failure, and type I
insulin-dependent diabetes. His congestive failure developed secondary to coronary vascular disease
associated with hyperlipidemia. What antihypertensive drug(s) may be most appropriate for this
chlorothiazide
patient?
lisinopril
propranolol
metoprolol
all of the above
A patient presents with a blood pressure of 160/110 mm Hg. The patient has a history of coronary
vascular disease, resulting in angina, but has no evidence of congestive heart failure. The patient also
has asthma and has been treated mainly using terbutaline (Brethine), by aerosol inhalation
Propranolol (Inderal) was prescribed to manage essential hypertension. Was this action appropriate?
Propranolol (Inderal) is appropriate because it will reduce heart rate and cardiac output. Negative
inotropism will help reduce the incidence of angina. It is an effective antihypertensive agent
Propranolol (Inderal) is inappropriate because it is only useful in mild hypertension; a better drug
would be minoxidil or hydralazine because they are more effective in lowering blood pressure
Propranolol (Inderal) is appropriate because it is an effective, low-cost antihypertensive. It will
augment the effects of terbutaline, an additional benefit
Propranolol (Inderal) is inappropriate because its use is contraindicated in a patient with asthma.
all of the above
The patient with severe allergic bronchial asthma has been treated by oral drug during 7 months.
Hypertension, “moon face”, obese trunk, oedema, insomnia occur. What drugs does he used?
A. *
B.
C.
D.
E.
70.
A. *
B.
C.
D.
E.
71.
A.
B.
C.
D. *
E.
72.
A.
B.
C.
D. *
E.
73.
A.
B.
C. *
D.
E.
74.
A.
B.
C. *
D.
E.
Patient used one of orally used glucocorticoids, e.g. prednisolonum.
Patient used one of beta-agonists.
Patient used cromolynum.
Patient used euphyllinum
Patient used all above.
Patient 65 years old suffers from bronchial asthma. Adrenergic receptor activator is used for
treatment, After two weeks of management a pain near heart, palpitation. How can these side effects
be prevent? It is necessary to prescribe
selective beta2-adrenergic receptor stimulator, for example salbutamolum.
glucocorticoids.
theophylline.
anticholinergics
cromolyn sodium.
An 81-year-old female with arteriosclerotic heart disease and pulmonary emphysema was found to
have significant bronchospasm. Her physician prescribed theophylline 400 mg every 12 hours. All of
the following toxicities may be observed EXCEPT:
cardiac arrhythmias
nausea and vomiting
agitation
sodium and water retention
tremulousness
A patient complains of severe expiratory dyspnea, paroxysmal dry cough, general asthenia. This
condition lasts for 28 hours and is not benefite after usage of salbutamol. Data of examination: the
patient is staying and leaning against window-still, diffuse cyanosis add swelling of neck veins are
observed, weezes are heard on the distance, by percussion bundbox sound is heard, by auscultation –
weakened wesicular breathing, elongated expiration, difuse dry rales. Which medical preparation is
the most important for the patient?
beta-agonists,
beta-blockers;
Expectorants:
Parenteral administrations of corticosteroids.
M-cholinolithics,
During auscultation of patient P., 60 years old, with chronic non-obstructive bronchitis, dry
buzzling rales above all parts of the lungs were heard as well as weakened vesicular breathing. What
medical preparation is it necessary to prescribe to the patient?
Diuretics;
Antitussive agents;
Expectorants;
Broncholitics;
beta-blockers.
A 56-yr-old man wheezes and coughs. He has tried to give up smoking, but he finds it very difficult.
He is thin and healthy looking with a rounded chest. His breathing is noisy. His cough is
unproductive. What treatment has to be prescribed?
Amoxycillin
Prednisolone
Ipratropium
Salbutamol
Bronchial lavage