Respiratory

Question 1

What is the fev1:fvc ratio consistent with the diagnosis of all stages of COPD?

Answer 1

70%

Question 2

What are the symptoms of inhalation anthrax?

Answer 2

Fever, malaise, widened mediastinum noted on chest x-ray or thoracic CT

Question 3

During a COPD exacerbation if the FEV1 Falls below 50% of predicted what measures should be taken?

Answer 3

A corticosteroid such as prednisone 40 mg daily for 10 days should be added

Question 4

When should antimicrobial therapy be initiated during a COPD exacerbation?

Answer 4

When the sputum characteristics are altered from baseline, indicative of bacterial infection such as increased purulence

Question 5

What bacteria are usually associated with a COPD exacerbation?

Answer 5

S. Pneumo
H. Flu
M. Cat

Can also be legionella

Question 6

What antibiotics should be considered to treat a mild to moderate COPD exacerbation?

Answer 6

Amox
Cephalosporin
Bactrim
Doxy

Question 7

For a severe COPD exacerbation what antibiotics are considered?

Answer 7

Amox-clavulanate
Cephalosporin
Azithro
Claritho
Fluoroquinolone