Lung

Question 1

FEV1/FVC ratio and RV in Obstructive pattern diseases

Answer 1

• less than 0.8

- increase

Question 2

Asthma - FEV1/FVC, TLC, DLCO

Answer 2

• normal/low
• normal/high
• normal/high

Question 3

COPD - FEV1/FVC, TLC, DLCO

Answer 3

• low
• hight
• low

Question 4

Fibrotic tissue - FEV1/FVC, TLC, DLCO

Answer 4

• normal/high
• low
• low

Question 5

3 MCC of chronic cough

Answer 5

asthma, postnasal, GERD

Question 6

Asthma: alarming signs

Answer 6

normal or decreased resp rate
decreased sounds
normal or increased PC02

Question 7

Asthma : definitive diagnosis

Answer 7

obstructive pattern of PFTs supported by reversibility with bronchodilators (12% increased in FEV1 and/or FVC)

Question 8

chronic asthma: types and symptoms

Answer 8

• mild interm: 2 or less days/wk // 2 or less nights/month
• mild persistent: more 2 wk but less than 1 day and more 2 nights month
• moderate persistent: daily, more than 1 night wk
• severe persistent: continual frequent

Question 9

chronic asthma: types and FEV1

Answer 9

mild interm: 80 or more
mild persistent: 80 or more
moderate persistent: 60-80
severe persistent: less than 60

Question 10

chronic asthma: types and medication

Answer 10

book p360

Question 11

COPD - prefered treatment

Answer 11

LABAs and long acting muscarinic antagonists (eg. ipratropium)
(inhaled or oral steroids not recommended)

Question 12

COPD - when O2 therapy

Answer 12

SaO2 less than 88 or
PaO2 less than 55 or
Pa02 55-60 + HF or erythrocytosis