CIS Dyspnea on Exertion/Cough/Shortness of Breath (Hubbard)

Question 1

What is the patient’s gold classification?

Answer 1

FEV1 is >50% but <80%

FEV1/FVC <70%

GOLD CLASSIFICATION II (Moderate)

Question 2

Which of the following is the most appropriate initial treatment for chronic COPD with a 150 pack year smoking history?

1. ICS
2. Roflumilast
3. Theophylline
4. Combination LABA/LAMA
5. Oxygen therapy

Answer 2

Combination LABA/LAMA

Question 3

What are the characteristics of the GOLD CRITERIA for

Stage I (Mild)

Answer 3

FEV1/FVC <70%

FEV1 > or = 80% of predicted

Question 4

What are the characteristics of the GOLD CRITERIA for

Stage II (Moderate)

Answer 4

FEV1/FVC <70% ; 50%

FEV1 <80% of predicted

Question 5

What are the characteristics of the GOLD CRITERIA for

Stage III (Severe)

Answer 5

FEV1/FVC < 70% ; 30%

FEV1 <50% of predicted

Question 6

What are the characteristics of the GOLD CRITERIA for

Stage IV (Very severe)

Answer 6

FEV1/FVC <70%

FEV1 <30% of predicted

Question 7

What is a significant management factor you should consider with a pt that is under the age of 40 with moderate COPD?

Answer 7

Alpha1 antitrypsin level

Question 8

A patient presentation with:

Erythema nodosum + fever + arthralgia + hilar adenopathy on CXR

leads you to think….

Answer 8

Sarcoidosis