Obstructive Lung Disease

Question 1

What is the best initial test for asthma

Answer 1

Peak Expiratory Flow or ABG

Question 1

What is the most accurate test for asthma

Answer 1

PFT’s
-decreased FEV1
-decreased FVC
-decreased FEV1/FVC ratio
-FEV1 increase >12% with albuterol
-FEV1 decrease >20% with Metacholine

Question 2

Best Initial Treatment for an Acute Asthma Exacerbation

Answer 2

Oxygen + Inhaled SABA + Steroid Bolus

Question 3

What is the best initial test for COPD

Answer 3

Chest X-Ray
-Increased AP Diameter
-Air Trapping
-Flattened Diaphragm

Question 4

What is the most accurate test for COPD

Answer 4

PFT’s
-Decreased FEV1
-Decreased FVC
-Decreased FEV1/FVC Ratio
-Increased TLC
-does not improve with albuterol

Question 5

COPD treatments to Improve mortality and delay progression

Answer 5

Smoking Cessation
Flu/Pneumococcal vaccines
Oxygen if pO2 <55 or Sat <88%

Question 6

Treatments to improve COPD Symptoms

Answer 6

SABA
LABA
Anticholinergics
Steroids

Question 7

How to treat Acute COPD Exacerbation

Answer 7

Bronchodilators
Corticosteroids
Antibiotics

Question 8

What is the most accurate test for sleep apnea

Answer 8

Sleep Study

Question 9

What is the best initial test for Bronchiectasis

Answer 9

Chest X-ray
-dilated, thick bronchi “Tram track”

Question 10

What is the most accurate test for Bronchiectasis

Answer 10

High Resolution CT

Question 11

How to treat Bronchiectasis

Answer 11

Chest Physiotherapy and Postural Drainage

Abx; rotate 1 wk/month

Dornase Alfa: decrease sputum viscoscity

Question 12

What is the most accurate test for Cystic Fibrosis

Answer 12

Increased Sweat Chloride Test
-Pilocarpine increases Ach
-Ach increases sweat production