COPD

Question 1

prevalence of COPD in Australia

Answer 1

1/20 - 5%

Question 2

2 most important findings on spirometry for COPD

Answer 2

FEV1/FVC = 70% or less than predicted and NOT reversible

FEV1 <80% of predicted

Question 3

Moderate COPD; most appropriate medications to prescribe

Answer 3

1. Symptomatic relief
   
   • SABA
   • SAMA
2. Monotherapy with
   
   • LAMA
   • LABA

Question 4

What other interventions would you recommend

Answer 4

Non-pharma 
 - smoking cessation 
 - chest physio/ rehabilation 
 - exercise 
Immunisations

Question 5

Diagnosis if FEV1 >12% or 200ml ?

Answer 5

Constitutes bronchodilator responsive
either Bronchodilator COPD
or asthma

Question 6

COPD and asthma - spirmoatry

Answer 6

> 400ml in FEV1
< 400 mL (but ≥ 200 mL and ≥ 12%), consider asthma / COPD overlap or an asthma component depending on history and pattern of symptoms!

Question 7

severe COPD define:

Answer 7

1. FEV1 <40% predicted

2. symptoms; Dyspnea on minimal exertion, affects daily activities, chronic cough and sputum

Question 8

Moderate COPD define

Answer 8

1. FEV1 40-59%

2. increasing dyspnea, breathless walking,

Question 9

Mild COPD define

Answer 9

1. FEV1 60-80%

2. breathless on moderate exertion , limited affect on daily activities.

Question 10

When to consider adding inhaled corticosteroids?

Answer 10

For patients with FEV1 < 50% (moderate) predicted and ≥ 2 exacerbations in 12 months: