Pulmonary Exam #1 2012

36 Questions | By Rmpmails | Last updated: Mar 20, 2022 | Total Attempts: 162

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Just a new way for me to study, hopefully it can help some others too. Facts not fully checked, learn at your own risk.

Questions and Answers

1.

COPD In COPD, when looking at a CAT score, what is the score that differentiating severe and not as severe?
- A.
  
  5
- B.
  
  10
- C.
  
  15
- D.
  
  20
2.

COPD While the causes of emphysema and chronic bronchitis differ, their presentations are exactly the same.
- A.
  
  True
- B.
  
  False
3.

COPD Which of the following is NOT a key pathogensis process in COPD
- A.
  
  Airway hypersensitivity
- B.
  
  Inflammation
- C.
  
  Protease-Anti-protease imbalance
- D.
  
  Oxidative stress
4.

COPD In COPD, which protein is broken down in patient lungs?
- A.
  
  Collagen
- B.
  
  Mucin
- C.
  
  Colloidin
- D.
  
  Elastin
5.

COPD vs. Asthama Which of the following is FALSE? (Warning trick questions)
- A.
  
  Asthma is variable shortness of breath
- B.
  
  COPD is associated with a sputum production
- C.
  
  COPD is associated with CD8 T cells while Asthama is CD4 T cells
- D.
  
  COPD and Asthma are always worsened by exercise
6.

COPD Which of the following is NOT a diagnostic symptom of COPD?
- A.
  
  History of smoking
- B.
  
  Wheezing cough
- C.
  
  Dyspnea
- D.
  
  Chronic cough
- E.
  
  Chronic sputum production
7.

COPD A diagnosis of COPD must be confirmed by spirometry
- A.
  
  True
- B.
  
  False
8.

COPD At what age should a practitioner consider COPD and performing spirometry?
- A.
  
  After any severe exacerbation
- B.
  
  40 years
- C.
  
  50 years
- D.
  
  65 years
9.

COPD What is the hallmark spriometry indicator of COPD?
- A.
  
  FEV < 40%
- B.
  
  FEV1/ FVC < 40%
- C.
  
  FEV < 70%
- D.
  
  FEV1/ FVC < 70%
10.

COPD Second hand exposure to smoking is considered a risk factor for COPD
- A.
  
  True
- B.
  
  False
11.

COPD Left heart failure is a complication of COPD
- A.
  
  True
- B.
  
  False
12.

COPD Assessment of COPD can be based on FEV alone
- A.
  
  True
- B.
  
  False
13.

COPD B2 agonists cause increases of cAMP which subsequent;y causes relaxation of bronchial smooth.
- A.
  
  True
- B.
  
  False
14.

COPD Which is a Side effect of B2 agonist?
- A.
  
  Hypokalemia
- B.
  
  Hyponatremia
- C.
  
  Hypercalcemia
- D.
  
  Hyperlipidemia
15.

COPD LABAs cause an increase in risk of death, when used alone in COPD.
- A.
  
  True
- B.
  
  False
16.

COPD Formoterol is a full B2 agonist, Salmetrol is a partial B2 agonist
- A.
  
  True
- B.
  
  False
17.

COPD Which muscarinic receptor is most antagonized by Tiotropium?
- A.
  
  M1
- B.
  
  M2
- C.
  
  M3
- D.
  
  M4
18.

COPD Ipratropium is short-acting anticholingeric while tiotropium is a long-acting anticholinergic
- A.
  
  True
- B.
  
  False
19.

COPD Which of the following is NOT a mechanism of bronchodialation dur to methylxanthines
- A.
  
  Inhibition of phosphodiesterase
- B.
  
  Increase of cAMP
- C.
  
  Inhibit actions of leukocytes
- D.
  
  Inhibition of release of inflammation mediators
20.

COPD What is the goal trough level of Theophylline? (Not given below, why is this level importance to know?)
- A.
  
  3-5 mcg/mL
- B.
  
  8-15 mcg/mL
- C.
  
  50-100 mcg/mL
- D.
  
  100-200 mcg/mL
21.

COPD Which phosphodiesterase is inhibited by roflumilast?
- A.
  
  PDE-1
- B.
  
  PDE-2
- C.
  
  PDE-3
- D.
  
  PDE-4
22.

COPD Corticoids steroid are less effectve in COPD than in asthma.
- A.
  
  True
- B.
  
  False
23.

COPD Antibiotics are given during COPD exacerbation based on sputum volume, color, AND dyspnea. (not OR)
- A.
  
  True
- B.
  
  False
24.

Smoking How many cigarettes are in a pack? (I don't know if we need to memorize it, but it kept coming up in the notes)
- A.
  
  10
- B.
  
  15
- C.
  
  20
- D.
  
  30
25.

Smoking NRT Patches dosing (starting dose) are based on which of the following?
- A.
  
  Time to first cigarette (1hr=21mg)
- B.
  
  Time to first cigarette (30min=21mg)
- C.
  
  Cigarettes in a day (10=21mg)
- D.
  
  Cigarettes in a day (20=21mg)