Quiz 3 COPD and asthma Flashcards

1
Q

How is COPD diagnosed?

A

By measuring the FEV1/FVC ratio using spirometry

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2
Q

Which of the following changes in the blood would lead to an increase in respiratory rate?

A

Increased partial pressure of arterial carbon dioxide (PaCO2)

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3
Q

Which factors contribute to the development of asthma?

A

Genetic and environmental factors

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4
Q

In the diagnosis of obstructive lung diseases, such as asthma and COPD, an FEV1/FVC ratio less than 70% typically indicates:

A

Obstructive lung disease

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5
Q

Which cells are predominantly found in the inflammatory infiltrate of asthma?

A

Eosinophils, mast cells, basophils, neutrophils, monocytes and macrophages

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6
Q

Which are the main pathological features of COPD?

A

Obstructive bronchiolitis, emphysema and mucus hypersecretion

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7
Q

What is the primary tigger for acute exacerbations in COPD?

A

Respiratory viral infections

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8
Q

What is the most common risk factor for the development of COPD?

A

Cigarette smoking

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9
Q

Which does NOT contribute to the pathophysiology of COPD?

A

High levels of physical activity

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10
Q

Which cytokines are involved in epithelial damage and repair in asthma?

A

IL-4, IL-9 and IL-13

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11
Q

What role do environmental allergens play in asthma?

A

Triggering asthma exacerbations

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12
Q

What is the effect of altitude on oxygen transport in the blood?

A

Decreased patrial pressure of oxygen in arterial blood, leading to reduce hemoglobin saturation

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13
Q

What leads to the chronic inflammation observed in COPD?

A

Chronic inhalation of irritants like cigarette smoke and air pollutants

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14
Q

How does airway remodeling affect asthma?

A

Contributes to the chronicity and severity of asthma

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15
Q

How is airflow limitation defined in the context of COPD?

A

FEV1/FVC ratio of <0.7

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16
Q

Which type of inflammation is most common in asthma?

A

T2-type inflamation

17
Q

Which is NOT a feature of the chronic inflamation observed in COPD?

A

Decreased numbers of macrophages and neutrophils

18
Q

Which is NOT listed as a pathological feature of COPD?

A

Pulmonary arteriole dilation

19
Q

Which cytokines are involved in the pathogenesis of asthma?

A

IL-25, IL-33 and TSLP

20
Q

What is the role of oxidative stress in COPD?

A

It contributes to lung injury and inflammation

21
Q

What is the role of oxidative stress in COPD?

A

It contributes to the accelerated ageing of lungs

22
Q

Which intervention is likely to improve FEV1 in a patient with reversible obstructive lung disease?

A

Administration of a short-acting beta-agonist inhaler

23
Q

What is asthma characterized by?

A

Chronic airway inflammation and variable remodeling

24
Q

During a normal quiet breathing cycle,, the process of expiration is mainly a result of?

A

Passive recoil of the lungs and chest wall

25
Q

Which of the following best describes the primary function of surfactant in the lungs?

A

To decrease the surface tension within alveoil, making it easier for them to expand during inspiration

26
Q

What is the role of airway epithelial cells in asthma?

A

Initiating T2-type immune responses

27
Q

What does FEV1 primarily measure in a pulmonary function test?

A

The volume of air that can be forcibly exhaled in the first second of a breath