Miscellaneous Quiz / Thera2-COPD.OBJ

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