COPD

Question 1

in acute exacerbation, the differentiation btwn an exacerba of asthma and of COPD is not necessary for determination of immediate management: true or false

Answer 1

true

Question 2

for asthma and COPD both, the mainstays of med therapy oare

Answer 2

O2, bronchodilators, steroids

Question 3

chronic bronchitis

Answer 3

cough and sputum production on most days for >3 months during at least 2 consecutive years

Question 4

most common initial symptom of copd is

Answer 4

cough (often w white thick mucus)
will present w intermittent worsening cough, with change in mucus from clear to yellow/green–usually these exacerbations are caused by viral or bac infections

Question 5

by the time dyspnea develops in COPD pt, lung function has been reduced by

Answer 5

1/2

Question 6

in COPD, the FEV1 to FVC ratio is

Answer 6

less than 0.7

Question 7

reversibility of lung function is defined as

Answer 7

increase in FEV1 of greater than 12% or 200 mL

Question 8

all pts with COPD should be appropriately vaccinated w

Answer 8

pneumococcal

influenza

Question 9

stage I copd tx

Answer 9

short acting bronchodilators (albuterol, anticholinergics)

Question 10

what are common precipitants of acute COPD exacerbation

Answer 10

viral and bac infec

Question 11

all acute exacerbations should be treated w

Answer 11

short acting bronchodilators and systemic steroids

Question 12

exacerbations assoc w increased amts of sputum or w purulent sputum should be treated w

Answer 12

antibiotics

Question 13

stage III COPD tx

Answer 13

inhaled steroid, inhaled long acting bronchodilator, inhaled short acting bronchodilator