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Miscellaneous Quiz / Thera2-COPD.OBJ

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Can you name the Thera2-COPD.OBJ?

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