Miscellaneous Quiz / Thera2-COPD.OBJ

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Can you name the Thera2-COPD.OBJ?

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

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