COPD - GOLD

Question 1

What is the 4th leading cause of death in the world?

Answer 1

COPD

Question 2

What was the GOLD COPD level of evidance?

Answer 2

Evidence based RCT and Meta analysis

Question 3

Which disease is preventable, reversible, and treatable with limited airflow after chronic exposure to noxious gases?

Answer 3

COPD

Question 4

What are the classic symptoms of COPD

Answer 4

Dyspnea, Cough, Wheezing

Question 5

How can you measure quality of life lost with COPD?

Answer 5

DALYs

Disability, Adjusted Life Years

Question 6

What Disease has the Pathology of oxidative damage that leads to inflammation and finally to mucus hyperproduction?

Answer 6

COPD

Question 7

How can you diagnose COPD?

Answer 7

With Spirometry post dilation with an increase in FEV1/FVR of >12%

Question 8

How can you treat mild, moderate, and severe COPD exacerbations?

Answer 8

Mild - SABD
Mod - SABD + Antibiotic + Steroids
Severe - Hospitalize

Question 9

No. 1 way to prevent COPD?

Answer 9

Quit Smoking

Question 10

Describe the ABCD assessment tool.

Answer 10

Exacerbations > 2 CD
Exacerbation < 2 AB
CAT score < 10 AC
CAT score > 10 BD

Question 11

What must all COPD patients be screened for?

Answer 11

Alpha - 1 - antitrypsin Deficiency

Question 12

What are the 3 things to prevent and manage COPD?

Answer 12

1 - quit smoking
2 - use proper inhaler technique
3 - vaccinate (pneumovax, flu)

Question 13

What are the two flu vaccinations

Answer 13

PCV - 13 PPSC - 23 for all patients over 65

Question 14

What do you give a patient for palliative care?

Answer 14

Opiates and neuromuscular stims

Question 15

What medication is used to improve FEV1?

Answer 15

SABA or SAMA

Question 16

What medication is used for exacerbations?

Answer 16

LAMA

Question 17

What medication is used for pulmonary rehab?

Answer 17

Tiotropium

Question 18

What medication is used to improve dyspnea symptoms

Answer 18

LABA and LAMA

Question 19

are inhaled medications more effective that oral medications?

Answer 19

Yes

Question 20

Group A patients receive what medication?

Answer 20

A bronchodilator

Question 21

Group B patients receive what medication?

Answer 21

LABA or LAMA

Question 22

Group C patients receive what medication?

Answer 22

LAMA

Question 23

Group D patients receive what medication?

Answer 23

LAMA + LABA or ICS

LABA + ICS

Question 24

What do patients with persistent exacerbations use for therapy?

Answer 24

LABA/LAMA or LABA/ICS

Question 25

If a patient has >300 Eosinophilia and 1 exacerbation a year

Answer 25

LABA/ICS

Question 26

If a patient has > 100 Eosinophilia and 2 exacerbation a year

Answer 26

LABA/ICS

Question 27

if Eosinophil count < 10, what medications do patients receive?

Answer 27

roflumilast or azithromycin

Question 28

what medication is not recommended for COPD

Answer 28

Methylxanthines (theophylle)

Question 29

Life threatening signs from COPD that lead to hospitalization?

Answer 29

change in mentation, hypoxemia

Question 30

What are some COPD comorbidities?

Answer 30

Lung cancer, CVD, Osteoporosis, GERD, Depression, Anxiety