Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

COMAT - Family Med > Obstructive Lung Diseases > Flashcards

Obstructive Lung Diseases Flashcards

1
Q

List 3 obstructive lung diseases

A

Asthma
COPD
Bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What mediates Asthma?

A

IgE-mast cell mediated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are some common triggers for Asthma?

A

URI’s
Allergens
Cold air
Exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What will the FEV1/FVC ratio be with Obstructive Lung Diseases?

A

LOW = < 70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What will the FEV1/FVC ratio be with Obstructive Lung DIseases?

A

LOW = < 70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Asthma is reversible, unlike the other conditions. When you administer a beta agonist, what will happen to the FEV1?

A

> 12% increase in FEV1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If you are unsure if someone has asthma, what drug can induce symptoms? What will happen to the FEV1?

A

Methacholine (muscarinic agonist)
= FEV1 decreases by > 20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe Mild Intermittent Asthma

A
  • Symptoms/SABA use < 2 days/week
  • Night symptoms < 2 nights/month
    ** FEV1 > 80%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the treatment for Mild Intermittent Asthma?

A

SABA
- Symptoms/SABA use < 2 days/week
- Night symptoms < 2 nights/month
** FEV1 > 80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe Mild Persistent Asthma

A
  • Symptoms/SABA use > 2 days/week but not daily
  • Night symptoms > 2 nights/month
    ** FEV1 > 80%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for Mild Persistent Asthma?

A

SABA + ICS
- Symptoms/SABA use > 2 days/week but not daily
- Night symptoms > 2 nights/month
** FEV1 > 80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe Moderate Persistent Asthma

A
  • Symptoms/SABA use DAILY
  • Night symptoms weekly
    ** FEV1 between 60-80%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the treatment for Moderate Persistent Asthma?

A

SABA + ICS + LABA
- Symptoms/SABA use DAILY
- Night symptoms weekly
** FEV1 between 60-80%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe Severe Persistent Asthma

A
  • Symptoms/SABA use multiple times daily
  • Frequent night time symptoms
    ** FEV1 < 60%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the treatment for Severe Persistent Asthma?

A

SABA + medium-dose ICS + LABA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If Asthma is Refractory to treatment, what can you try?

A

Oral steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Leukotriene Antagonists can replace what in the standard Asthma treatment?

18
Q

What are common SABA and LABA used?

A

SABA = Albuterol
LABA = Salmeterol

19
Q

What are 2 common ICS used?

A

Beclomethasone
Prednisone

20
Q

What short and long acting muscarinic antagonists can be used with these diseases?

A

SAMA = Ipratropium
LAMA = Tiotropium

21
Q

MOA for Theophylline?

A

PDE-4 Inhibitor
– not used due to side effects

22
Q

MOA for Cromolyn? When is it used?

A

Blocks mast cell release of vasoactive substances
= Used with exercise induced asthma only

23
Q

What are 2 common LTA used with Asthma?

A

Montelukast
Zilueton

24
Q

What is the treatment for an Asthma exacerbation?

A
  • Steroids
  • Nebulizer (albuterol + ipratropium)
  • Oxygen if necessary
25
What is the treatment for an Asthma exacerbation?
- Steroids - Nebulizer (albuterol + ipratropium) - Oxygen if necessary
26
What are 2 presentations of COPD?
Blue bloaters Pink Puffers
27
Blue Bloaters predominantly have Chronic Bronchitis symptoms. Describe them.
- Cyanotic and overweight - Pulmonary HTN --> Right sided HF = Edema
28
Pink Puffers predominantly have Emphysema symptoms. Describe them.
- Frail with prolonged expiration through pursed lips - Barrel chested - Dyspnea
29
Chronic Bronchitis definition
Chronic productive cough for > 3 months
30
If the alveolar damage is centrilobular, what caused that COPD?
Smoking
31
If the alveolar damage is panlobular, what caused that COPD?
Alpha 1 Antitrypsin deficiency
32
Treatment for COPD with pneumonic?
COPD = Corticosteroids, oxygen, Prevention with vaccines, Dilators
33
When is oxygen indicated for COPD?
SpO2 < 88% PaO2 < 55
34
What is the treatment for an Acute COPD Exacerbation?
Oxygen Nebulizer Steroids +/- Antibiotics +/- BiPAP
35
What is the treatment for an Acute COPD Exacerbation?
Oxygen Nebulizer Steroids +/- Antibiotics +/- BiPAP
36
What is Bronchiectasis?
Permanent dilation/fibrosis of Bronchi
37
Cycles of infection/inflammation that lead to permanently dilated bronchi?
Bronchiectasis
38
What is the main sign of Bronchiectasis?
Chronic productive cough of yellow/green sputum
39
What is the main sign of Bronchiectasis?
Chronic productive cough of yellow/green sputum
40
What can be seen on CXR with Bronchiectasis?
Tram lines = parallel lines outlining dilated bronchi
41
What can be seen on CT with Bronchiectasis?
Dilated airways and possibly cysts
42
What is the treatment for Bronchiectasis?
Antibiotics -- usually fluoroquinolone

COMAT - Family Med (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions