Question 1

Which of the following is not one of the recommended medications for initial management of COPD patient group 2? A) Theophylline B) Long-acting anticholinergic C) Long-acting beta₂ agonist D) Long acting anticholinergic and long-acting beta2 agonist combination inhaler

Accepted Answer

Theophylline is not typically recommended for the initial management of COPD patient group 2. Long-acting anticholinergics and long-acting beta2 agonists are preferred for their efficacy and safety profiles.

Question 2

Forced expiratory volume-1 second (FEV-1)/Forced vital capacity (FVC) ratio of less than .7 is considered indicative of airway obstruction.

Accepted Answer

A FEV-1/FVC ratio of less than 0.7 is commonly used as a diagnostic criterion for obstructive lung diseases, such as COPD, indicating airflow limitation.

Question 3

Which of the following carries the highest risk of developing COPD?&#10;A) Smoking&#10;B) Asthma&#10;C) Occupation as airline mechanic&#10;D) Seasonal allergies

Accepted Answer

Smoking is the leading cause of COPD, significantly increasing the risk compared to other factors listed.

Question 4

All of the following are characteristic COPD signs and symptoms except:&#10;A) Airway obstruction&#10;B) Completely reversible obstruction (as measured through spirometry)&#10;C) Cough&#10;D) Dyspnea on exertion

Accepted Answer

Completely reversible obstruction is not a characteristic COPD sign or symptom. COPD is characterized by irreversible airflow limitation.

Question 5

COPD exacerbations always require prescription of oral steroids.

Accepted Answer

Not all COPD exacerbations require oral steroids; treatment depends on the severity and specific symptoms of the exacerbation.

Question 6

Inhaled corticosteroids (ICSs) are not indicated for use in COPD pharmacological management.

Accepted Answer

Inhaled corticosteroids (ICSs) are indicated for use in certain cases of COPD, particularly for patients with a history of exacerbations despite appropriate bronchodilator therapy.

Question 7

In purely chronic bronchitis, one form of COPD, all of the following are pathophysiological changes except:&#10;A) Increased sputum production&#10;B) Airway obstruction&#10;C) Loss of airway integrity&#10;D) Loss of alveolar-capillary bed surface area

Accepted Answer

In chronic bronchitis, the primary changes include increased sputum production and airway obstruction due to inflammation and mucus buildup. Loss of alveolar-capillary bed surface area is more characteristic of emphysema, another form of COPD, not chronic bronchitis.

Question 8

Long-acting bronchodilator inhaler medications are safe to use in COPD.

Accepted Answer

Long-acting bronchodilator inhalers are commonly used and considered safe for managing COPD, as they help to relax and open the airways, improving breathing and reducing symptoms.

Question 9

COPD GOLD Level 4 is associated with a FEV-1 of:&#10;A) Less than 30% predicted&#10;B) Greater than 50% predicted&#10;C) Greater than 60% predicted&#10;D) None of the above

Accepted Answer

COPD GOLD Level 4 is classified as very severe COPD, which is associated with a FEV-1 of less than 30% predicted.

Question 10

Most COPD exacerbations are due to weather changes.

Accepted Answer

Most COPD exacerbations are primarily caused by respiratory infections, not weather changes.

Deck 49: Chronic Obstructive Pulmonary Disease