COPD

Question 1

Most common respiratory sx’s in COPD

Answer 1

1. Dyspnea
2. Chronic cough
3. Sputum production

Question 2

What is the main risk factor for COPD?

Answer 2

smoking

Question 3

Dx of COPD

Answer 3

1. Symptoms
2. Risk factors
3. Spirometry* REQUIRED to establish dx

Question 4

What are risk factors for COPD

Answer 4

1. Host factors
2. Tobacco
3. Occupation
4. Indoor/outdoor pollution

Question 5

What spirometry findings confirms presence of persistent airflow limitation?

Answer 5

FEB1/FEV < 0.7 postbronchodilator

Question 6

Define COPD exacerbation

Answer 6

An acute worsening of respiratory sx’s that result in additional therapy

Question 7

Mild COPD exacerbation

Answer 7

Treated with SABDs only

Question 8

Moderate COPD exacerbation

Answer 8

Treated with SABDs + Abx and/or oral corticosteroids

Question 9

Severe COPD exacerbation

Answer 9

• ER visit

- Hospitalization

Question 10

WHO recommendation for Alpha-I Antitrypsin deficiency (AATD)

Answer 10

All COPD patients should be screened once

Question 11

What is the goal of treatment of stable COPD

Answer 11

1. Reduce sx’s

2. Reduce Risk

Question 12

PDE4 inhibitor indications

Answer 12

1. Chronic bronchitis
2. Severe COPD
3. Hx of exacerbations