COPD

Question 1

coughing with excessive mucus production for at least 3+ months for a minimum of 2+ consecutive years

Answer 1

chronic bronchitis

Question 2

permanent alveolar damage and loss of elastic recoil in chronic hyperinflation of the lungs; prolonged expiratory phase

Answer 2

emphysema

Question 3

rare condition that is a risk factor for COPD

pt has severe lung damage at an early age

Answer 3

alpha-1 trypsin deficiency

Question 4

CXR findings in COPD

Answer 4

flattened diaphragm w/ hyperinflation

Question 5

COPD med class
to be avoided if pt has narrow-angle glaucoma, BPH, or bladder neck obstruction

Answer 5

anticholinergics

Question 6

COPD category

minimally symptomatic COPD w/ low risk of exacerbation

Answer 6

category A

Question 7

COPD category

more symptomatic w/ low risk of exacerbation

Answer 7

category B

Question 8

COPD category

minimally symptomatic but at high risk of exacerbation

Answer 8

category C

Question 9

COPD category

high risk

Answer 9

category D

Question 10

COPD category A tx

Answer 10

SABA PRN alone or w/ short-acting anticholinergic

Question 11

COPD category B tx

Answer 11

LABA or long-acting anticholinergic

may use SABA PRN

Question 12

COPD category C tx

Answer 12

long-acting anticholinergic
may combine LAMA + LABA
alt - LABA w/ inhaled glucocorticoid

Question 13

how far apart should Pneumovax + Prevnar 13 be separated

Answer 13

12 months

Question 14

bronchodilator class
albulterol
levalbuterol

Answer 14

SABA

short-acting beta-agonist

Question 15

bronchodilator class
salmeterol
formoterol

Answer 15

LABA

long-acting beta-agonist

Question 16

bronchodilator class
ipratropium (atrovent)

Answer 16

short-acting anticholinergic

Question 17

bronchodilator class
spiriva
ellipta

Answer 17

long-acting anticholinergics/long-acting muscarinic agent (LAMA)

Question 18

what is suspected if COPD pt has fever, purulent sputum, increased wheezing, dyspnea

Answer 18

H influenzae