Obstructive Pulmonary Disease

Question 1

Symptoms ≤2 days/week, nighttime awakenings ≤2×/month, short-acting β-agonist use ≤2 days/week, no interference with normal activity

Answer 1

mild intermittent asthma

Question 2

Symptoms >2 days/week but not daily, nighttime awakenings 3-4×/month, short-acting β-agonist use >2 days/week but not daily, minor limitations in normal activity

Answer 2

mild persistent asthma

Question 3

Daily symptoms, nighttime awakenings ≥1×/week but not nightly, daily use of short-acting β-agonist, some limitation in normal activity

Answer 3

moderate persistent asthma

Question 4

Symptoms throughout the day, nighttime awakenings often 7×/week, short-acting β-agonist use several times a day, extremely limited normal activity

Answer 4

severe persistent asthma

Question 5

Considered the gold standard for the diagnosis of Asthma

Answer 5

Peak expiratory flow rate

Question 6

Common in patients with cystic fibrosis, CXR shows plate like atelectasis

Answer 6

Bronchiectasis

Question 7

Abnormal sweat chloride test

Answer 7

CF

Question 8

Blue bloaters (hypoxia), treat with ipratropium inhaler

Answer 8

chronic bronchitis

Question 9

Consequence of destruction of alveolar septae = Pink puffers - The body’s natural response to ↓ lung function is chronic hyperventilation. Minimal cough, quite lungs, thin, barrel chest. Chest X-ray will reveal flattened diaphragm, hyperinflation and small, thin appearing heart.

Answer 9

emphysema

Question 10

Right heart failure caused by long term COPD history?

Answer 10

cor pulmonale

Question 11

Is chronic bronchitis or emphysema associated with an elevated hemoglobin?

Answer 11

chronic bronchitis

Question 12

Pink Puffer?

Answer 12

Emphysema - Consequence of destruction of alveolar septae = Pink puffers - The body’s natural response to ↓ lung function is chronic hyperventilation

Question 13

Blue bloater?

Answer 13

chronic bronchitis

Question 14

Only medication that improves morbidity and mortality in COPD?

Answer 14

oxygen

Question 15

Agent of choice for COPD exacerbation?

Answer 15

ipratropium

Question 16

First line agent of choice for acute asthma attack?

Answer 16

albuterol

Question 17

Wet cough and foul smelling sputum in a child?

Answer 17

Bronchiectasis

Question 18

Chronic aspiration in kids leads to plate like atelectasis on X-ray and what condition?

Answer 18

Bronchiectasis

Question 19

Salty baby?

Answer 19

CF

Question 20

What type of COPD is associated with hyperventilation flat diaphragm on CXR and a normal Hgb/HCT?

Answer 20

emphysema

Question 21

What are the two types of COPD?

Answer 21

chronic bronchitis

emphysema

Question 22

What condition is bronchiectasis often associated with?

Answer 22

CF

Question 23

Child with chronic persistent productive cough foul smelling sputum?

Answer 23

bronchiectasis