Pulmonary Exam #1 2012
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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.
- 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)
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