Triggers for COPD

Question 1

CT with bronchial wall thickening and ballooned or honey comb appearance

Answer 1

bronchiectasis

Question 2

sputum culture and bronchoscopy for diagnosis.

Answer 2

bronchiectasis

Question 3

treated with surgical resection and lung transplant if severe

Answer 3

bronchiectasis

Question 4

mucolytic therapy, chest physiotherapy and bronchodilators are used in what

Answer 4

bronchial hygiene for bronchiectasis

Question 5

MC in obese asians and african americans

Answer 5

OSA

Question 6

first line diagnostic for OSA

Answer 6

polysmography

Question 7

mainstay treatment for OSA

Answer 7

CPAP or APAP

Question 8

possible treated w macrolides, 2nd/3rd gen cephs, resp flouroquinolones and augmentin

Answer 8

acute COPD exacerbation

Question 9

expiration with pursed lips, hyperresonant percussion, wheezing and rales

Answer 9

COPD - emphysema

Question 10

What CAPTURE score is clinically significant

Answer 10

2-4 indicates screening for COPD

Question 11

Increased JVP

Answer 11

Chornic bronchitis

Question 12

hepatomegaly

Answer 12

chronic bronchitis

Question 13

peripheral edema

Answer 13

chronic bronchitis

Question 14

serum alpha 1 antitrypsin

Answer 14

used as diagnostic study in COPD

Question 15

BNP/NT-porBNP

Answer 15

labs recommended for COPD

Question 16

long narrow heart shadow is seen in what diagnosis

Answer 16

COPD - emphysema

Question 17

what is diagnostic criteria for chronic bronchitis

Answer 17

> 3+ months over 2 years

Question 18

how low does FEV1 have to be to consider DLco testing

Answer 18

FEV<50%

Question 19

which test determines severity of breathlessness

Answer 19

mMRC

Question 20

what patients is supplemental oxygen beneficial for in COPD amnagement

Answer 20

patients with severe, chronic, resting arterial hypoxemia

Question 21

has SE of Cardiac arrhythmias

Answer 21

SABA

Question 22

has SE of metallic taste

Answer 22

SAMA

Question 23

has SE of dry mouth and eyes

Answer 23

SAMA

Question 24

which LABA is only available in nebulizer form

Answer 24

Arformeterol

Question 25

which LABA is QD

Answer 25

Arformeteral

Question 26

which LAMAs are BID

Answer 26

alcinidium and glycopyrrolate

Question 27

what COPD group is treated with ICS?

Answer 27

group E, only if eosinophils are above 100 and less than 300

Question 28

treatment for Group A COPD

Answer 28

single BD

Question 29

which medication is associated with prostatic symptoms

Answer 29

SAMA

Question 30

destruction of air spaces distal to the terminal bronchioles

Answer 30

emphysema

Question 31

PDE4-inhibitor

Answer 31

roflumilast

Question 32

CI in psych patients

Answer 32

roflumilast

Question 33

non-specific phosphodiesterase inhibitor

Answer 33

theophylline

Question 34

concern for hepatic impairment

Answer 34

theophylline

Question 35

when would you use steroids and abx in COPD

Answer 35

management of acute exacerbation

Question 36

target spO2 for acute COPD exacerbation patients

Answer 36

88-92% to prevent air trapping

Question 37

protects lungs from neutrophil damage

Answer 37

alpha 1 antitrypsin

Question 38

early onset emphysema

Answer 38

ATT1 deficiency

Question 39

associated with symptoms of chronic liver disease

Answer 39

ATT1 deficiency

Question 40

panniculitis is seen in what diagnoses

Answer 40

ATT1 deficiency

Question 41

hot and painful nodules on thigh/buttocks

Answer 41

panniculitis (associated with ATT1 deficiency)

Question 42

can be treated with donor infusions

Answer 42

ATT1 deficiency

Question 43

tram tracks on CXR are indicative of what disease

Answer 43

bronchiectasis

Question 44

when is hypoglossal nerve stimulation used

Answer 44

OSA

Question 45

thick foul smelling purulent sputum

Answer 45

bronchiectasis

gross….

Question 46

increases diaphragm contraction force

Answer 46

theophylline

Question 47

when would we see hemoptysis in COPD

Answer 47

with acute exacerbation

Question 48

used to reduce inflammation and aid in pulmonary remodeling

Answer 48

roflumilast