COPD

Question 1

FEV1

Answer 1

measures how much air a person can exhale during a forced breath in 1 second. It should be 4L

Question 2

FVC

Answer 2

the total amount of air that can be forcibly exhaled from your lungs. Should be 5L

Question 3

FEV1/FVC ratio should be what

Answer 3

> 0.8

Question 4

What FEV1/FVC ratio percent confirms a airflow limitation?

Answer 4

< or equal to 0.70

Question 5

GOLD 1- Mild. What is the FEV1?

Answer 5

> 80%

Question 6

GOLD 2- Moderate. What is the FEV1?

Answer 6

<80%

Question 7

GOLD 3-Severe. What is the FEV1?

Answer 7

<50%

Question 8

GODL 4- Very Severe. What is the FEV1?

Answer 8

<30%

Question 9

mMRC scale measures what? and what is the scoring

Answer 9

how SOB a patient is. The higher the mMRC (0-4) the worse they are

Question 10

CAT assessment

Answer 10

a questionnaire for people with Chronic Obstructive Pulmonary Disease (COPD). It is designed to measure the impact of COPD on a person’s life,

Question 11

ICS increases risk for what illness?

Answer 11

pna

Question 12

Alpha-1 Antitrypsn Augmentation therapy

Answer 12

IV therapy that can help slow down progression of emphysema

Question 13

Incruse (umeclidinium),
Seebri (glycopyrrolate),
Spiriva (tiotropium),
Tudorza (aclidinium)

Are examples of what?

Answer 13

LAMA (Long-acting muscarinic antagonist)

Question 14

If patient has >2 exacerbations or >1 hospitalization and a low mMRC score and CAT assessment score, what category are they and how should you treat?

Answer 14

Category C and add a LAMA to their treatment. (They should already have a bronchodilator and LABA on board)

Question 15

If patient has >2 exacerbations or >1 hospitalization and a high mMRC score and CAT assessment score, what category are they and how should you treat?

Answer 15

Category D, add LAMA or LAMA + LABA OR ICS +LABA (if really bad

Question 16

Can LABAs (Long-acting beta-agonist) be used alone?

Answer 16

No should always be given with an inhaled steroid.