COPD

Question 1

gold 1

Answer 1

mild FEV1>=80% predicted

Question 2

gold 2

Answer 2

moderate 50% <= FEV1 <80% predicted

Question 3

gold 3

Answer 3

severe 30%<= FEV1<50% predicted

Question 4

gold 4

Answer 4

very severe FEV1<30% predicted

Question 5

mMRC

Answer 5

modified British medical council dyspnea scale
0-4

Question 6

CAT

Answer 6

COPD assessment test (CAT)
0-40

Question 7

CAT<10
mMRC 0-1
0 or 1 exacerbation history (not leading to hospital admin)

Answer 7

A
a bronchodilator:
SABA PRN, SAMA PRN
LABA or LAMA

Question 8

CAT >= 10
mMRC >=2
0 or 1 exacerbation history (not leading to hospital admin)

Answer 8

B
LAMA or LABA

Question 9

CAT<10
mMRC 0-1
>=2 or >=1 exacerbation history (leading to hospital admin)

Answer 9

C
LAMA

Question 10

CAT >= 10
mMRC >=2
>=2 or >=1 exacerbation history (leading to hospital admin)

Answer 10

D
LAMA or
LAMA + LABA (if highly symptomatic) or
LABA + ICS (if eosinophils >=300)

Question 11

ipratropium bromide
+ albuterol

Answer 11

atrovent
+ combivent respimat
dry mouth, upper respiratory tract infection
- SAMA

Question 12

tiotropium

Answer 12

spiriva handihaler, spiriva respimat
Handihaler devices are DPI and come w/ a capsule. do not swallow the capsules
- LAMAs

Question 13

roflumilast

Answer 13

contra in sever liver impairment
psychiatric events- warning
PDE-4 inhibitor