Copd Man

21 Questions | By Jacobfuchs | Updated: Feb 22, 2013 | Attempts: 228

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COPD Management (KNOELL)

Questions and Answers

1.

The four components of the Global initiative for Chronic Obstructive Lung Disease (GOLD) include all of the following EXCEPT?
- A.
  
  Assess and monitor disease
- B.
  
  Reduce risk factors
- C.
  
  Rule out other respiratory disease
- D.
  
  Manage stable COPD
- E.
  
  Manage exacerbations
Correct Answer
C. Rule out other respiratory disease
2.

The goals of COPD include all of the following EXCEPT:
- A.
  
  Prevent and treat exacerbations
- B.
  
  Relieve symptoms
- C.
  
  Reverse disease progression
- D.
  
  Smoking cessation
- E.
  
  Reduce mortality
Correct Answer
C. Reverse disease progression
3.

Spirometry is the gold standard for diagnosing COPD. Which of the following COPD patient's FEV1 value indicates a non-fully reversible airflow limitation after a bronchodilator challenge?
- A.
- B.
- C.
- D.
- E.
  
  None of the above, FEV1 will always be >90% after SABA use.
Correct Answer
D.
4.

Spirometry should be performed _________ the administration of an adequate dose of a short-acting inhaled bronchodilator to minimize variability.
- A.
  
  After
- B.
  
  Before
- C.
  
  During
- D.
  
  None of the above, SABAs should not be used with spirometry.
Correct Answer
B. Before
5.

If performing spirometry during an office visit, the pharmacist accidentally compare her elderly patent's FVC and FEV1 values to a much younger "predicted" value. What risk in COPD diagnosis may occur?
- A.
  
  Underdiagnose
- B.
  
  Overdiagnose
Correct Answer
B. Overdiagnose
6.

Which of the following bronchodilators therapies should a COPD patient have, regardless of their particular staging?
- A.
  
  Albuterol
- B.
  
  Formoterol
- C.
  
  Salmeterol
- D.
  
  Fluticasone
- E.
  
  Two of the above
Correct Answer
A. Albuterol
7.

True or False: All bronchodilators: SABA, LABA, or anticholinergics, have been shown to increase exercise capacity without significant FEV1 changes.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
8.

Regular treatment of stable COPD patients with inhaled corticosteroids is appropriate for symptomatic patients with an FEV1 <____% of predicted.
- A.
  
  50%
- B.
  
  70%
- C.
  
  80%
- D.
  
  None of the above, ICS should not be scheduled for COPD patients
Correct Answer
A. 50%
9.

An adequate inhaled corticosteroid (ICS) trial is defined by which of the following time windows?
- A.
  
  3 - 4 weeks
- B.
  
  6 weeks - 3 months
- C.
  
  4 - 6 months
- D.
  
  6 months - 1 year
- E.
  
  None of the above, ICS works for all COPD patients.
Correct Answer
B. 6 weeks - 3 months
10.

True or False: Oral glucocorticoids are not recommended for long-term maintenance of COPD due to systemic side effects.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
11.

The combined use of ICS + B2 agonist is more effective than individual components for all the following parameters EXCEPT:
- A.
  
  Improved spirometry
- B.
  
  Fewer exacerbations
- C.
  
  Increased quality of life
- D.
  
  Improved mortality
- E.
  
  All of the above are achieved via synergistic use of ICS and B2 agonists
Correct Answer
D. Improved mortality
12.

COPD is a disease of the "aging population". If a patient in his or her 30s is diagnosed with COPD, you are most likely to suspect which of the following as the main culprit?
- A.
  
  Poor nutrition
- B.
  
  Multiple childhood infections
- C.
  
  Alpha-1-antitrypsin deficiency
- D.
  
  Long-term cigarette exposure
- E.
  
  Indoor or outdoor air pollution
Correct Answer
C. Alpha-1-antitrypsin deficiency
13.

All COPD patients, should actively reduce risks by getting vaccinations. Pneumococcal polysaccharide vaccines are recommended to which of the following TWO populations?
- A.
  
  COPD patients at or >65 y.o. in severe and very severe stages ONLY
- B.
  
  All COPD patients at or >65 y.o.
- C.
  
  All COPD patients
- D.
  
  All COPD patients
- E.
  
  COPD patients at or >65 y.o. in mild and moderate stages ONLY
Correct Answer(s)
B. All COPD patients at or >65 y.o.
C. All COPD patients
14.

The ideal pulmonary rehabilitation program (PRP) should include all the following components EXCEPT:
- A.
  
  Education
- B.
  
  Exercise
- C.
  
  Medication management
- D.
  
  Nutritional support
- E.
  
  Psychosocial support
Correct Answer
C. Medication management
15.

Exercise training involved in pulmonary rehabilitation is encouraged at least 3 times a week in order to improve all of the following EXCEPT:
- A.
  
  Muscle function in COPD
- B.
  
  Exercise tolerance
- C.
  
  Exertional dyspnea or fatigue
- D.
  
  Reverse progression of disease
- E.
  
  Activities of daily life
Correct Answer
D. Reverse progression of disease
16.

In the vicious cycle of COPD, systemic inflammation directly lead to which of the following TWO effects?
- A.
  
  Hyperinflation and airflow obstruction
- B.
  
  Increase load and decreased efficiency of respiratory muscles
- C.
  
  Dyspnea on exertion
- D.
  
  Increase lactate production during exercise
- E.
  
  Decreased oxidative capacity of skeletal muscle enzymes
Correct Answer(s)
C. Dyspnea on exertion
E. Decreased oxidative capacity of skeletal muscle enzymes
17.

Supplemental oxygen therapy improve which of the following parameters for COPD patients?
- A.
  
  Hemodynamics & Hematologic characteristics
- B.
  
  Mental state
- C.
  
  Exercise capacity
- D.
  
  Lung mechanics
- E.
  
  All of the above are improved with O2 therapy
Correct Answer
E. All of the above are improved with O2 therapy
18.

What are the numerical goals of oxygen therapy for Stage III COPD patients? Select TWO of the following options.
- A.
  
  PO2 >30 mmHg
- B.
  
  PO2 >60 mmHg
- C.
  
  O2 saturation >60%
- D.
  
  O2 saturation >90%
Correct Answer(s)
B. PO2 >60 mmHg
D. O2 saturation >90%
19.

An O2 prescription would be given to all of the following patients EXCEPT:
- A.
  
  COPD patients with right ventricular hypertrophy
- B.
  
  PO2
- C.
  
  PO2
- D.
  
  COPD patients with elevated hematocrit
- E.
  
  All of the above patients need supplemental O2 therapy at home
Correct Answer
E. All of the above patients need supplemental O2 therapy at home
20.

True or False: Lung transplantation for COPD is common practice because many of them do not participate in illicit drug use.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
21.

Exacerbations of COPD include all of the following treatment options EXCEPT:
- A.
  
  Inhaled bronchodilators (beta-2-agonist and anticholinergics)
- B.
  
  Systemic oral glucocorticoids (FEV1
- C.
  
  Theophylline
- D.
  
  Non-invasive positive pressure ventilation
- E.
  
  Cromones and leukotriene inhibitors
Correct Answer
E. Cromones and leukotriene inhibitors

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Current Version
Feb 22, 2013

Quiz Edited by
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Sep 13, 2012

Quiz Created by
Jacobfuchs

COPD Man

The four components of the Global initiative for Chronic Obstructive Lung Disease (GOLD) include all of the following EXCEPT?

The goals of COPD include all of the following EXCEPT:

Spirometry is the gold standard for diagnosing COPD. Which of the following COPD patient's FEV1 value indicates a non-fully reversible airflow limitation after a bronchodilator challenge?

Spirometry should be performed _________ the administration of an adequate dose of a short-acting inhaled bronchodilator to minimize variability.

If performing spirometry during an office visit, the pharmacist accidentally compare her elderly patent's FVC and FEV1 values to a much younger "predicted" value. What risk in COPD diagnosis may occur?

Which of the following bronchodilators therapies should a COPD patient have, regardless of their particular staging?

True or False: All bronchodilators: SABA, LABA, or anticholinergics, have been shown to increase exercise capacity without significant FEV1 changes.

Regular treatment of stable COPD patients with inhaled corticosteroids is appropriate for symptomatic patients with an FEV1 <____% of predicted.

An adequate inhaled corticosteroid (ICS) trial is defined by which of the following time windows?

True or False: Oral glucocorticoids are not recommended for long-term maintenance of COPD due to systemic side effects.

The combined use of ICS + B2 agonist is more effective than individual components for all the following parameters EXCEPT:

COPD is a disease of the "aging population". If a patient in his or her 30s is diagnosed with COPD, you are most likely to suspect which of the following as the main culprit?

All COPD patients, should actively reduce risks by getting vaccinations. Pneumococcal polysaccharide vaccines are recommended to which of the following TWO populations?

The ideal pulmonary rehabilitation program (PRP) should include all the following components EXCEPT:

Exercise training involved in pulmonary rehabilitation is encouraged at least 3 times a week in order to improve all of the following EXCEPT:

In the vicious cycle of COPD, systemic inflammation directly lead to which of the following TWO effects?

Supplemental oxygen therapy improve which of the following parameters for COPD patients?

What are the numerical goals of oxygen therapy for Stage III COPD patients? Select TWO of the following options.

An O2 prescription would be given to all of the following patients EXCEPT:

True or False: Lung transplantation for COPD is common practice because many of them do not participate in illicit drug use.

Exacerbations of COPD include all of the following treatment options EXCEPT: