A. As a Respiratory Therapist or medical professional, it’s an important topic that you must be very familiar with. What will the Spirometry show for chronic obstructive pulmonary disease?There will be reductions in force expiratory volume in the first second (FEV1), strong predictor of mortality rate; FEV1/FVC (forced vital capacity) and mid-expiratory flow rate. What is hypercapnia?Above normal PaCO2, 40. Identifying these manifestations and assessing their association with clinical outcomes (ie, mortality, exacerbation and COPD hospital admission) is of increasing clinical importance. Clinical Manifestations and Assessment of Respiratory Disease. How can you treat a patient with COPD? BoardVitals Pulmonary and Critical Care Medicine CME Pro Plus offers more than 600+ peer-reviewed online case-style questions that will help you prepare for your board exams and stay up-to-date on relevant Pulmonary and Critical Care Medicine topics including Obstructive Lung Disease, Cardiovascular Disorders, and Gastrointestinal Disorders. Based on his medications, what is the most predictable drug-disease interaction? 8th ed., Mosby, 2019. 2. Ipratropium bromide, when used in COPD provides which therapeutic effect: What is the pathophysiology of emphysema? Rationale for tapering corticosteroid dose: Long-term use causing adrenal insufficiency. Four components of the diagnosis of inhalation anthrax: What is the goal of oxygen therapy in COPD? or intubation and conventional mechanical ventilation. Indications for CXR in COPD exacerbation: Three most common bacterial agents in COPD exacerbation: Atypicals (M. and C. pneumo, legionella) are associated with what percentage of bacterial COPD flares? What is the most common test in diagnosing and monitoring chronic obstructive pulmonary disease (COPD)?Spirometry, 42. What are the three primary symptoms of COPD?Cough, sputum production, and dyspnea on exertion. Systemic steroids can be administered by IV (intravenous), shot, or orally. Miravitlles M et al (2014) Generic utilities in chronic obstructive pulmonary disease patients stratified according to different staging systems. As an affiliate, we receive compensation if you purchase through this link. Requires specialty consult. The primary goal of treating COPD is to increase the patient’s life expectancy and quality of life while decreasing the number of COPD exacerbations and hospital visits. In the examples below, the correct answer always won out, but other answer choices made a respectable showing, indicating that our distractors did their job well for Question of the Week respondents. How much of an ICS dose is absorbed systemically? Please consult with your physician with any questions that you may have regarding a medical condition. 70. According to the ABIM exam blueprint, questions testing pulmonary disease topics comprises ~10% of the exam.That places it second only to cardiology’s 14% in terms of relative percentage. Avoid other lung infections. It can be used in asthma that is uncontrolled on optimized conventional therapy. 30. 8. What is the medical definition of COPD? 50. Dilate airway to help a cough with the use of bronchodilator that is sympathomimetic and administration of parasympatholytic agent like Beta 2-Parasympatholytic, xanthine, and theophylline that aids bronchial dilation. 45. And here's a free pulmonary board review video from CMEinfo.com, a teaser for their pulmonary CME and pulmonary board review products: What is chronic bronchitis?Chronic bronchitis is an increase production of mucus from bronchi. Assess based on last 4 weeks. What is a noninvasive type of ventilation?Noninvasive positive-pressure ventilation or NPPV, 53. Dr. Jones’ primary research is focused on symptom measurement and cognitive outcome of COPD. Thereafter knowledge of an annual review will undoubtedly lead to more conscious governance and opportunities to introduce improvements (including replacement of board members). Pneumonia What type of chronic obstructive pulmonary disease produces peripheral edema?Chronic bronchitis, 65. According to GOLD COPD guidelines, what medication is indicated for stages I to IV? 9. What are the general symptoms of COPD?Dyspnea, cough, sputum, fever, wheezing, chest tightness, and fatigue. What is the best care approach suited for chronic obstructive pulmonary disease?Palliative care and home health, 43. Antibiotics are for bacterial treatment. T/F: all patients with asthma should have a SABA inhaler. 33. It is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. According to the CDC, it’s the third leading cause of death in the United States. 38. Pulmonary function testing shows decreased expiratory maneuver, forced vital capacity (FVC) of lung volume and capacity is increased along with ventricular tachycardia (Vt), right ventricle (RV), residual volume/total lung volume (RV/TLC) and functional residual capacity (FRC). There is a good summary on the official BSA site. Introduction More than 54 million US adults have arthritis, and more than 15 million US adults have chronic obstructive pulmonary disease (COPD). We weren't able to detect the audio language on your flashcards. 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