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MD > COPD > Flashcards

COPD Flashcards

1
Q

COPD dyspnea characteristics

A

Progressive over time, worse with exercise, persistent

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2
Q

COPD chronic cough characteristics

A

May be intermittent and may be unproductive, with recurrent wheeze

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3
Q

Any pattern of chronic sputum production may indicate what disease?

A

COPD

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4
Q

What essential test is required to establish a diagnosis of COPD?

A

Spirometry

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5
Q

Post-bronchodilator FEV1 for patients with GOLD 1 COPD

A

Greater than or equal to 80% predicted

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6
Q

Spirometric Criteria for COPD

A

Post-bronchodilator FEV1/FVC ratio <0.70

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7
Q

Post-bronchodilator FEV1 for patients with GOLD 2 COPD

A

50 to < 80%

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8
Q

Post-bronchodilator FEV1 for patients with GOLD 3 COPD

A

30 to <50%

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9
Q

Post-bronchodilator FEV1 for patients with GOLD 4 COPD

A

<30%

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10
Q

mMRC Grade for patients who get breathless with strenuous exercise

A

Grade 0

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11
Q

mMRC Grade for patients who get short of breath when hurrying on the level or walking up a slight hill

A

Grade 1

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12
Q

mMRC Grade for patients who walk slower than the people of same age on level because of breathlessness

A

Grade 2

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13
Q

mMRC Grade for patients who stop for breath when walking on own pace on level

A

Grade 2

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14
Q

mMRC Grade for patients who stop for breath after walking about 100 meters

A

Grade 3

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15
Q

mMRC Grade for patients who stop for breath after a few minutes on the level

A

Grade 3

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16
Q

mMRC Grade for patients who are too breathless to leave the house

17
Q

mMRC Grade for patients who get breathless when dressing or undressing

18
Q

Recommended treatment for COPD in Group A

A

Bronchodilator

19
Q

Recommended treatment for COPD Group B

A

LABA or LAMA

20
Q

Recommended treatment for Group C COPD

21
Q

Recommended treatment for Group D COPD that are highly symptomatic

A

LAMA + LABA or ICS + LABA

22
Q

Arterial hypoxemia PaO2 levels in normal population

A

PaO2 < 55 mmHg

23
Q

When do you prescribe supplemental oxygen in COPD patients?

A

When there is arterial hypoxemia

24
Q

What are the LAMA options for COPD

A

Tiotropium, Glycopyrronium bromide, Aclidinium

25
Q

What is the dose of Tiotropium inhaler?

A

18mcg DPI one inhalation OD

26
Q

What is the D/F of Glycopyrronium bromide?

A

50mcg one inhalation OD

27
Q

What is the D/F of Aclidinium inhaler?

A

400mcg DPI one inhalation OD

28
Q

Brand of Tiotropium inhaler

29
Q

LABA + LAMA examples for COPD

A

Indacaterol/Glycopyrronium

30
Q

D/F of Indacaterol/Glycopyrronium

A

110/50 mcg DPI OD

31
Q

SaO2 in Arterial Hypoxemia

A

SaO2 < 88%

32
Q

Arterial Hypoxia is still considered in PaO2 of >55 but <60mmHg in patients with what conditions?

A

PaO2 > 55 but <60 mmHg with right heart failure or erythrocytosis

33
Q

In patients with Right Heart Failure and Erythrocytosis, what PaO2 is considered as Arterial Hypoxia?

A

PaO2 > 55 but <60 mmHg

MD (4 decks)

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