COPD Gold

Question 1

COPD 2017 definition

Answer 1

Preventable and treatable disease

Persistent respiratory symptoms and airflow limitation that is due to airway and/or alveolar abnormalities.

Question 2

Most common symptoms of COPD?

Which is the cardinal symptom?

Answer 2

Dyspnea- Cardinal sign

Cough

Sputum production

Wheezing and chest tightness

Fatigue and weight loss

Question 3

Main risk factors for COPD

Answer 3

Tobacco smoking but other environmental exposures such as biomass fuel exposure and air pollution may contribute

Question 4

What are the GOLD FEV1 ratio classifications?

Answer 4

Gold 1 >80% or equal = Mild

Gold 2 50-79 = Moderated

Gold 3 30-49 = Severe

Gold 4 < 30 = Very Severe

Question 5

What has the greatest capacity to reduce the natural history of COPD

Answer 5

Smoking cessation

Question 6

Which vaccination can reduce serious illness, lower respiratory tract infections requiring hospitalization and death in COPD patient?

Answer 6

Influenza vaccine

Question 7

What is the recommendation for Pneumococcal vaccinations, PCV 13 and 23?

Answer 7

All patients 65 and older should receive these to reduce incidence of CAP

Question 8

What are the benefits treating COPD with 2 bronchodilators (LABA + LAMA)

Answer 8

1. Combination therapy reduces FEV1 and relieves symptoms better than mono therapy

2.

Question 9

What are the 3 inhaled medications when combined can improve lung function, symptoms and health status?

Answer 9

ICS + LABA + LAMA