COPD

Question 0

R or I

Presence of mucus and inflammatory cells & mediators in bronchial secretions

Answer 0

Reversible Airflow Limitation in COPD

Question 1

Define COPD

Answer 1

Syndrome of chronic, persistent expiratory airflow limitation

Question 2

R or I

Bronchial smooth muscle contraction in peripheral and central airways

Answer 2

Reversible Airflow Limitation in COPD

Question 3

R or I

Dynamic hyperinflation during exercise

Answer 3

Reversible Airflow Limitation in COPD

Question 4

R or I

Fibrosis & narrowing of airways

Answer 4

Irreversible Airflow Limitation in COPD

Question 5

R or I

Reduced elastic recoil w/loss of alveolar surface area

Answer 5

Irreversible Airflow Limitation in COPD

Question 6

R or I

Destruction of alveolar support w/reduced patency of small airways

Answer 6

Irreversible Airflow Limitation in COPD

Question 7

COPD usually consists of what two diseases

Answer 7

Chronic bronchitis

Emphysema

Question 8

Groups at increased risk for COPD

Answer 8

Older
White
Female
Smokers

Question 9

What is required to diagnose COPD?

Answer 9

Spirometry

Question 10

COPD symptoms

Answer 10

Dyspnea
Chronic cough
Sputum production

Question 11

History of exposure to risk factors

Answer 11

Tobacco
Occupational hazards
Air pollution

Question 12

Intrathoracic causes of chronic cough

Answer 12

COPD
Asthma
Lung cancer
TB
Bronchitis
Left heart failure
Interstitial lung disease
Cystic fibrosis
Idiopathic cough

Question 13

Extrathoracic causes of chronic cough

Answer 13

Chronic allergic rhinitis
Upper airway cough syndrome (UACS)
GERD
Medications (ex: ACEIs)

Question 14

Emphysema aka

Answer 14

Pink puffer

Question 15

Chronic bronchitis aka

Answer 15

Blue bloater

Question 16

Goals of COPD assessment:

Answer 16

1. Determine severity of the disease
2. Determine impact on patient’s health status
3. Determine risk of future events
   
   • exacerbations, hospitalizations, or death
4. Determine pharmacologic / non-pharmacologic interventions

Question 17

COPD assessment tools

Answer 17

CAT - COPD Assessment Tool (CAT)
mMRC - Breathlessness Measurement using the Modified British Medical Research Council (mMRC)
CCQ - Clinical COPD Questionnaire

Question 18

CAT scores

Answer 18

<10 Low Symptom Group

10+ High Symptom Group

Question 19

Doc for AECOPD group A

Answer 19

SAMA or SABA

Question 20

Doc for AECOPD group B

Answer 20

Idk

Question 21

Doc for AECOPD group C

Answer 21

Idk

Question 22

Doc for AECOPD group D

Answer 22

Idk

Question 23

Examples of SAMA

Answer 23

Ipratropium

Question 24

Examples of LAMA

Answer 24

Tiotropium

Question 25

Examples of SABA

Answer 25

Albuterol

Levalbuterol

Question 26

Examples of ICS

Answer 26

Fluticasone

Beclomethasone