Respiratory

Question 1

Modified British medical research council (mMRC) dyspnea scale

Answer 1

0 - breathless w strenuous exercise
1- breathless when hurrying on level ground or Walking up slight incline
2-stops for breath when walking it at own pace on level
3- stops after 100 meters
4 - Breathless when dressing, too breathless to leave the house

Question 2

Which objective measure is mandatory for COPD diagnosis

Answer 2

FEV1/FVC < 0.7

Question 3

GOLD grade 1

Answer 3

FEV1>= 80 % predicted

Question 4

GOLD grade 2

Answer 4

FEV1 50 to less than 80% predicted

Question 5

GOLD grade 3 (severe)

Answer 5

FEV1. 30- under 50% predicted

Question 6

What is the Saint George’s Respiratory questionnaire (SGRC) Score at which regular treatment of symptoms should be initiated?

Answer 6

25 or greater

Question 7

Which CAT score is a threshold at which regular symptom treatment initiation should be considered?

Answer 7

10 or greater

Question 8

What inhaler therapy should a patient with a CAT score 10 or greater but no exacerbation history receive?

Answer 8

LAMA/LABA combination inhaler

Question 9

At what eosinophil count would you add ICS?

Answer 9

300 or more

Question 10

Which antibiotics are used for COPD exacerbation ?

Answer 10

Azithromycin.
Amoxicillin/clavulanic acid
Doxycycline

Question 11

Which inhalers are approved for SMART?

Answer 11

Dulera (mometasone/formoterol)
Symbicort (budesonide/formoterol)

Question 12

Nasal corticosteroids w lowest bioavailability

Answer 12

Mometasone and ciclesonide

Question 13

Second generation Antihistamines w anticholinergic effects (avoid in patients with dry eyes, etc)

Answer 13

Desloratadine and Loratadine