COPD Management (Knoell)

21 Questions | Total Attempts: 62

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COPD Quizzes & Trivia

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

  • 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

  • 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.

  • 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.

  • 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

  • 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

  • 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

  • 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

  • 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.

  • 10. 
    True or False: Oral glucocorticoids are not recommended for long-term maintenance of COPD due to systemic side effects.
    • A. 

      True

    • B. 

      False

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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%

  • 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

  • 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

  • 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