COPD Practice Questions for Exam Graded A+(100% Verified)

A 25 year old smoker with a 10 pack year history of smoking should be given what counsel to prevent development of COPD? *A.* Use albuterol as needed to prevent symptoms *B.* Use ipratropium as needed to prevent symptoms *C.* Need for an influenza vaccination *D.* Smoking cessation information *E.* All of the above - *D.* Smoking cessation information The risk of theophylline toxicity is *MOST* likely to occur in a patient who has discontinued: *A.* Smoking *B.* Omeprazole *C.* Fluoxetine *D.* Warfarin *E.* Gentamicin - *A.* Smoking JJ is a 65 yom who comes to the clinic today for his annual visit. While reviewing his records you discover he has had 5 COPD exacerbations requiring hospitalization since his last visit a year ago. The most recent event occurred two months ago. Spirometry reveals a FEV1 of 29%. How should you classify this patient's COPD? *A.* Group A *B.* Group B *C.* Group C *D.* Group D - C, D (He didn't specify the the mMRC nor the CAT...)(I'm sure he was going for D, but not sure) A PDE-4 inhibitor is recommended as third choice in which of the following COPD groups? *A.* Group A *B.* Group B*C.* Group C *D.* Group D - *C.* Group C (Slide 98) Which of the following medications is recommended as third choice in all COPD classes? *A.* Ipratropium *B.* Theophylline *C.* Albuterol *D.* Anoro Ellipta *E.* Roflumilast - *B.* Theophylline A patient with a prior diagnosis of COPD approaches the pharmacy counter and asks for a refund on his Combivent inhaler. The patient states that he pays "a whole lotta money for a drug that doesn't work", and wants a replacement. He states that he knows the drug must be expired or old, because he has been using this drug for 3 years now...and for 2 months, it hasn't worked like it used to. Other than agitation, the patient is in no distress and has been hospitalized once in the last year for COPD exacerbation. Which of the following is the *MOST* appropriate course of action for this patient? *A.* Send the patient to the ED for further care *B.* Ask your manager to issue a refund on the defective inhaler *C.* Review inhaler technique, and if appropriate, call his MD recognizing the progressive nature of COPD and recommend the addition of a LAAC *D.* Review inhaler technique, and if appropriate, cal his MD recognizing the progressive nature of COPD and recommend an ICS *E.* Call the MD and recommend addition of theophylline - *C.* Review inhaler technique, and if appropriate, call his MD recognizing the progressive nature of COPD and recommend the addition of a LAAC Which of the following is/are appropriate intervention(s) for the treatment and/or prevention of COPD progression in a GOLD 2, Group B patient who smokes 2 packs daily? *A.* Initiating a LABA or LAAC *B.* Ensuring appropriate inhaler technique *C.* Influenza vaccine and short-acting bronchodilator therapy *D.* Smoking cessation*E.* All of the above - *E.* All of the above A patient started on tiotropium therapy should be counseled about which of the following common side effects? *A.* Dry mouth and cough *B.* Tachycardia and palpitations *C.* Bad taste *D.* A and C only *E.* All of the above - *D.* A and C only