Copd Man

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

True

False

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

Muscle function in COPD

Exercise tolerance

Exertional dyspnea or fatigue

Reverse progression of disease

Activities of daily life

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

True

False

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

Hemodynamics & Hematologic characteristics

Mental state

Exercise capacity

Lung mechanics

All of the above are improved with O2 therapy

5. The goals of COPD include all of the following EXCEPT:

Prevent and treat exacerbations

Relieve symptoms

Reverse disease progression

Smoking cessation

Reduce mortality

6. 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?

Poor nutrition

Multiple childhood infections

Alpha-1-antitrypsin deficiency

Long-term cigarette exposure

Indoor or outdoor air pollution

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

True

False

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

Assess and monitor disease

Reduce risk factors

Rule out other respiratory disease

Manage stable COPD

Manage exacerbations

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

Albuterol

Formoterol

Salmeterol

Fluticasone

Two of the above

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

COPD patients with right ventricular hypertrophy

PO2

COPD patients with elevated hematocrit

All of the above patients need supplemental O2 therapy at home

11. 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?

Underdiagnose

Overdiagnose

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

After

Before

During

None of the above, SABAs should not be used with spirometry.

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

PO2 >30 mmHg

PO2 >60 mmHg

O2 saturation >60%

O2 saturation >90%

Submit

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

Inhaled bronchodilators (beta-2-agonist and anticholinergics)

Systemic oral glucocorticoids (FEV1

Theophylline

Non-invasive positive pressure ventilation

Cromones and leukotriene inhibitors

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

3 - 4 weeks

6 weeks - 3 months

4 - 6 months

6 months - 1 year

None of the above, ICS works for all COPD patients.

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

50%

70%

80%

None of the above, ICS should not be scheduled for COPD patients

17. 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?

None of the above, FEV1 will always be >90% after SABA use.

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

Education

Exercise

Medication management

Nutritional support

Psychosocial support

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

Improved spirometry

Fewer exacerbations

Increased quality of life

Improved mortality

All of the above are achieved via synergistic use of ICS and B2 agonists

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

COPD patients at or >65 y.o. in severe and very severe stages ONLY

All COPD patients at or >65 y.o.

All COPD patients

COPD patients at or >65 y.o. in mild and moderate stages ONLY

Submit

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

Hyperinflation and airflow obstruction

Increase load and decreased efficiency of respiratory muscles

Dyspnea on exertion

Increase lactate production during exercise

Decreased oxidative capacity of skeletal muscle enzymes

Submit

COPD Man

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

2.

What first name or nickname would you like us to use?

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

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

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

5. The goals of COPD include all of the following EXCEPT:

6. 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?

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

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

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

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

11. 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?

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

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

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

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

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

17. 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?

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

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

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

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