More COPD Questions

Question 1

COPD is defined by post-bronchodilator FEV1/FVC ratio of what?

Answer 1

< 0.7

Question 2

(Group A)
mMRC 0, 1
CAT <10
exacerbations
<2/year

What to recommend?

And if after recommendation symptoms persist?

Answer 2

Recommend first:
SABA prn,
SAMA prn,
LABA, or
LAMA

If symptoms persist:
Try a different

Question 3

(Group B)
mMRC ≥ 2,
CAT ≥10
exacerbations
<2/year

What to recommend?

And if after recommendation symptoms persist?

Answer 3

Recommend first:
LAMA or LABA

If symptoms persist:
LAMA + LABA

Question 4

(Group C)

mMRC 0,1
CAT < 10
exacerbations
≥ 2/year

What to recommend?

And if after recommendation symptoms persist?

Answer 4

Recommend first:
LAMA

If symptoms persist:
LAMA + LABA

Question 5

(Group D)
mMRC ≥ 2,
CAT ≥10
exacerbations

What to recommend?

And if after recommendation symptoms persist?

Answer 5

Recommend first:
LAMA,
LAMA+LABA,
LABA + ICS

And if after recommendation symptoms persist?
LAMA+LABA+ICS

Question 6

Are ICS single products FDA approved for COPD?

Answer 6

No.

Question 7

What is Non-Pharmacologic Therapy for COPD?

Answer 7

❖ Smoking cessation
❖ Oxygen supplement
❖ Pulmonary rehabilitation

Question 8

What is the classification of Gold 1 for COPD?

Answer 8

Mild FEV1 ≥ 80%

predicted

Question 9

What is the classification of Gold 2 for COPD?

Answer 9

Moderate FEV1 50-79%

predicted

Question 10

What is the classification of Gold 3 for COPD?

Answer 10

Severe FEV1 30-49%

predicted

Question 11

What is the classification of Gold 4 for COPD?

Answer 11

Very Severe FEV1 < 30%

predicted

Question 12

What is the Risk Exacerbation Hx for hospitalization?

Answer 12

≥ 2 or ≥ 1

0 or >1 no hospitalization

Question 13

For a selected Metered-Dose Inhaler - after inserting the canister into the actuator you need to shake the inhaler for 5 seconds immediately before each dose (Except Atrovent). True or False?

Answer 13

True

Question 14

For the Select Metered-Dose Inhaler (MDI) the fifth step is to press the top of the top of the canister while breathing slowly and deeply. True or false

Answer 14

True

Question 15

For the Diskus - after pushing the thumb grip to reveal the mouthpiece - you need to hold the Diskus horizontally and slide the level until it clicks. True or false?

Answer 15

True

Question 16

What inhalers requires slow deep breathing?

Answer 16

Select Metered-Dose Inhaler (MDI)
Elipta note this requires one long deep breath
Respimat

Question 17

What inhalers require quick and deep breathing?

Answer 17

Diskus, Handihaler, and the Pressair

Question 18

After breathing deeply you should hear the capsule rattle in which inhaler?

Answer 18

HandiHaler

Question 19

Obtain a capsule from the blister

pack and place it into the chamber in which inhaler?

Answer 19

HandiHaler

Question 20

You need to inhale twice to obtain a full dose from this inhaler

Answer 20

HandiHaler

Question 21

This inhaler has a clear base. To use it you will turn it toward the direction the arrows in until it clicks.

Answer 21

Respimat

Question 22

This inhaler has a thumb grip. You need to push the thumb grip to reveal the mouthpiece then you will hold it horizontally and slide the lever until it clicks.

Answer 22

Diskus