Miscellaneous Quiz / Thera2-COPD.OBJ

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QUIZ: Can you name the Thera2-COPD.OBJ?

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HintAnswer
Oral glucocorticoids should only be given to COPD pts suffering an exacerbation if they are Stages __-__
In COPD, decreased gas exchange results in hypoxemia and ___________.
Fluticasone Brand Name
Main example of a methylxanthine
T or F: Inhalation exposures are the biggest risk factor for COPD.
T or F: The three 'types' of COPD are only diagnosed as a form of COPD when airflow limitation is irreversible.
Salmeterol Brand Name
Nebulizer product with an albuterol base + ipratropium
Ipratropium Brand Name
T or F: Patient education improves patient response to exacerbations.
The three main Sxs of COPD are: cough, sputum production, and ________.
Product containing Fluticasone + Salmeterol
Moderate Stage COPD therapy includes the same recommendations as the mild stage but adds regular treatment with one or more ___________ (when needed).
Asthma is distinguished by _________ in lung function with bronchodilator administration.
T or F: All COPD pts benefit from exercise training programs. Results include: decreased exercise tolerance and decreased Sxs of dyspnea.
T or F: Patient education can improve patient's ability to cope with illness and can improve medication adherence and admin technique.
T or F: Sputum production (in those with COPD) can precede airflow limitation by several years.
Dosing and Frequency of Combivent
Dosing and Frequency of Dulera
Dosing and Frequency of Budesonide
This COPD 'type' is characterized by increased mucous.
Dosing and Frequency of Ipratropium
Hypoxic vasoconstriction of small pulmonary arteries can cause _____________ __________.
Does a productive cough in COPD pts lean more towards bronchitis or emphysema?
Very Severe Stage COPD therapy builds off Severe Stage therapy but allows for the addition of long-term ____ if in chronic respiratory failure.
T or F: The BODE index addresses the importance of systemic manifestations of COPD and effect on mortality.
T or F: Antibiotics can increase antibiotic resistance and are only indicated in the presence of a bacterial infection.
Term for a chronic production cough with unknown etiology.
Maximum number of doses per day of Duoneb
Dosing and Frequency of Advair HFA
COPD can lead to ____-sided HF.
T or F: Smoking cessation is the only known risk factor reduction proven to improve FEV1.
HintAnswer
T or F: A cough (in those with COPD) can precede airflow limitation by several years.
T or F: Intensifying inhaled therapy for an exacerbation could involve increasing the dose or frequency of short-acting agents and adding an anticholinergic agent if pt isn't alrea
Dosing and Frequency of Advair Diskus
Dosing and Frequency of Albuterol
T or F: In COPD pts, dyspnea is initially intermittent and eventually becomes persistent (daily).
COPD's pulmonary component is progressive and characterized by air flow limitation that is ___________, indicating fixed airway narrowing.
Tiotropium Drug Class
T or F: Only 1 vaccination is recommended for COPD pts.
T or F: Spirometry measurements are accurate during an exacerbation.
Mometasone Brand Name
What other pharmacologic therapy is utilized in the end stage of COPD to 'trick' the brain into thinking breathing is easier?
Dosing and Frequency of Salmeterol
T or F: Evidence suggests that thinning or increasing the clearance of mucous secretions (via mucolytics OR increased fluid intake) is beneficial.
COPD exacerbations are characterized by all of the following except: a) change in baseline dyspnea; cough and/or sputum production b) FEV1 < 60% c) acute onset d) warranting a chan
T or F: Bacterial infections are more common than viral.
Cor pulmonale is indicated by _____ of the ankles.
Formoterol Brand Name
Which of the following is not a culprit of bacterial respiratory infections: Streptococcus pneumoniae; Haemophilus influenzae; Legionella pneumophilia; or Moraxella catarrhalis.
T or F: The 2 main goals of Tx are to: reduce risk factors and treat Sxs with medications while minimizing adverse effects.
Product containing budesonide + formoterol
This COPD 'type' is an abnormal permanent enlargement of airspaces accompanied by destruction of alveolar walls and reduced elasticity.
Dosing and Frequency of Mometasone
Product containing mometasone + formoterol
T or F: Continuous prophylactic use of antibiotics has been shown to decrease exacerbations.
Stage of COPD if FEV1 < 80% predicted
This COPD 'type' has structural changes demonstrated by narrowing of peripheral airways due to fibrosis.
Stage of COPD if FEV1 < 30% predicted OR FEV1 < 50% predicted w/ chronic respiratory failure
T or F: LABAs are approved as monotherapy in COPD
T or F: Spirometry is used in COPD to index disease severity, confirm airway limitation, assess response to therapy, monitor for disease progression, differentiate between asthma a
Just the frequency of Duoneb
Stage of COPD if FEV1 > 80% predicted
Dosing and Frequency of Formoterol
HintAnswer
True or False: Rehabilitation may be added into therapy for Moderate stage COPD.
T or F: Patient education is important during all stages of COPD.
Mucolytics are or are not recommended in COPD pts.
T or F: The post-bronchodilator FEV1/FVC ratio is < 0.80 in COPD.
Tiotropium Therapeutic Use
T or F: Antitussives are okay to use in COPD pts.
T or F: In COPD pts, dyspnea is progressive and worsens w/ exercise.
What is the most effective (and cost effective) intervention to slow progression of COPD?
T or F: Leukotriene Modifiers have been shown to be beneficial in COPD treatment.
The recommended duration of therapy for oral glucocorticosteroids in a COPD exacerbation is __ days.
Budesonide Brand Name
Does a non-productive cough in COPD pts lean more towards emphysema or bronchitis?
Dosing and Frequency of Fluticasone
T or F: Very Severe Stage COPD pts shouldn't consider surgical tx as a therapy option.
Dosing and Frequency of Tiotropium
T or F: All Sxs must be present in order to diagnose COPD.
Severe Stage COPD therapy includes the same recommendations as moderate stage COPD, but with the option of adding a(n) ___________ if repeated exacerbations.
T or F: Theophylline is a last line therapy because of serum monitoring and it's toxic effects.
MDI product with an albuterol base + ipratropium
Stage of COPD if FEV1 < 50% predicted
Inhalation exposures (COPD risk factors) include: occupational dust, gas, and fumes, indoor and outdoor air pollution, and __________.
The two most common causes of exacerbations are ________ ________ and air pollution.
Mild Stage COPD therapy includes active reduction of risk factors; vaccinations; and the addition of a ____________ (when needed).
Dosing and Frequency of Symbicort
A short course of prednisolone (___-40mg) may be given to COPD pts during an exacerbation.
_________ use in end-stage COPD to control dyspnea may have serious adverse effects such as respiratory depression.
T or F: Rehabilitation in COPD is important because it can address non-pulmonary issues.
T or F: 'At home' management of exacerbations can include: intensifying inhaled therapy, initiating antibiotics (if bacterial infection confirmed), and beginning oral glucocorticos
The two vaccinations recommended in COPD are: __________ & ___________
Tiotropium Brand Name

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