COPD

Question 1

COPD is usually progressive, not fully reversible and is associated with

Answer 1

An abnormal inflammatory response of the lungs

Question 1

COPD is a preventable and treatable disease characterized by

Answer 1

Airflow limitation

Question 2

What 2 related lung diseases does COPD describe?

Answer 2

Emphysema and chronic bronchitis

Question 3

COPD is predominantly a

Answer 3

Smoker’s disease

Question 4

What are the most common complaints in COPD?

Answer 4

Dyspnea on exertion, cough, sputum production

Question 5

In early disease of COPD, exam findings are often

Answer 5

Absent

Question 6

COPD is suspected based on H&P but can be confirmed with

Answer 6

Simple spirometry

Question 7

What respiratory characteristics may be seen in COPD on exam?

Answer 7

Audible inspiratory crackles, evidence of hyperinflation, forward sitting posture

Question 8

What is the gold standard diagnostic for COPD?

Answer 8

Spirometry

Question 9

Spirometry includes which 2 results?

Answer 9

FVC and FEV1

Question 10

What FEV1 level confirms airway limitation that is not fully reversible?

Answer 10

<80%

Question 11

What post bronchodilator FEV1/FVC level confirms airway limitation that is not fully reversible?

Answer 11

< 0.70 (70%)

Question 12

What lab tests should be performed in COPD?

Answer 12

CBC w/ diff, ABGs, alpha1-antitrypsin*

Question 13

Alpha-1-antitrypsin should only be ordered in symptomatic patients that are

Answer 13

<50 years old

Question 14

What views of a chest x-ray should be ordered?

Answer 14

PA and lateral

Question 15

What are 5 differential diagnoses of COPD?

Answer 15

Asthma, neoplasms, cystic fibrosis, GERD, heart disease (mitral stenosis, those causing pulmonary edema)

Question 16

Inhaled bronchodilators relieve bronchospasm and can be further enhanced with

Answer 16

Methylxanthine therapy

Question 17

What is the 1st line maintenance therapy for non-asthmatic COPD?

Answer 17

Anticholinergics

Question 18

What are 4 types of obstructive lung disease?

Answer 18

COPD, asthma, bronchiectasis, cystic fibrosis

Question 19

What are 4 examples of restrictive sung disease?

Answer 19

Interstitial lung disease, chest wall pathology, neuromuscular disease, obesity

Question 20

What are 2 causes of pulmonary vascular disease?

Answer 20

Primary pulmonary HTN, chronic thromboembolic disease

Question 21

COPD can be of 2 categories

Answer 21

Obstructive and vascular

Question 22

Sarcoidosis can be of 3 categories

Answer 22

Obstructive, restrictive, vascular

Question 23

How long should you wait after administration of a SABA during spirometry?

Answer 23

10-15 mins

Question 24

How long should you wait after administration of a SABA/SAMA or SAMA during spirometry?

Answer 24

30-45 mins

Question 25

What value is used to stage COPD?

Answer 25

FEV1