COPD

Question 1

When do you see air trapping with COPD?

Answer 1

Is it consistently present however worsens with exacerbation

Question 2

Objective findings with lower airway disease

Answer 2

Hyperresonance on percussion
decreased tactile fremitus
wheeze (inspiratory first expiratory later)
Increased AP diameter (barrel chest)

Question 3

True or false?
With COPD smoking cessation, physical activity, pulmonary rehabilitation, and vaccine for influenza and pneumococcal is recommended

Answer 3

True

Question 4

What are the most common COPD symptoms?

Answer 4

chronic cough, chronic sputum, activity intolerance, these symptoms typically progress over time.
The obstruction is always there

Question 5

Assessment in COPD

Answer 5

Spirometry (needed for Dx)
CAT or CQQ questionnaire for symptom ass.
Alpha-1 antitrypsin deficiency

Question 6

What FEV1/FVC confirms persistent airflow limitation/COPD?

Answer 6

<70% post broncholdialtor

Question 7

Gold one (mild COPD) FEV1?

Answer 7

FEV1 is greater than or = to 80% predicted

Question 8

Gold two (moderate COPD) FEV1?

Answer 8

FEV1 is less than or = 50% - 80% predicted

Question 9

Gold three (Severe COPD) FEV1?

Answer 9

FEV1 is 30%-49%

Question 10

Gold four ( very Severe COPD) FEV1?

Answer 10

less than 30% predicted