RC 180: COPD UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

RC 180: COPD UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. What is defined clinically as a chronic productive cough for 3 months in each of 2 successive years in a
patient in whom other causes of productive chronic cough have been excluded?
Answer:
chronic bronchitis

Question:
2. What disease is associated with chronic inflammation and thickening of walls of peripheral airways?
Answer:
chronic bronchitis

Question:
3. What disease is associated with excessive mucus production and accumulation with partial or total
mucus plugging of airways?
Answer:
chronic bronchitis

Question:
4. Why is chronic bronchitis somewhat reversible?
Answer:
because bronchospam of smooth muscle in bronchial airways is associated with the disease process

Question:
5. Chronic inflammation and thickening of walls of peripheral airways, excessive mucus production and
accumulation, partial or total mucus plugging of airways, bronchospasm of smooth muscle in bronchial
airways, and air trapping/hyperinflation all describe which disease process?
Answer:
chronic bronchitis

Question:
6. What are the primary structures that undergo change in chronic bronchitis?
Answer:
conducting airways-particularly the bronchi

Question:
7. As a result of chronic inflammation, the bronchial walls are narrowed by?
Answer:
vasodilation, congestion, mucosal edema, and is accompanied by bronchoconstriction

Question:
8. The number and function of cilia lining the tracheobronchial tree are diminished and peripheral bronchi
are often partially or totally occluded by inflammation and mucus plugs which in turn leads to?

, Answer:
hyperinflated alveoli

Question:
9. If you were to look under a microscope, how would you know a patient has chronic bronchitis?
Answer:
increased number of chronic inflammatory cells in the submucosal bronchial region and marked thickening
of the mucous gland layer of the airway

Question:
10. What is the presence of permanent enlargement of the airspaces distal to the terminal bronchioles,
accompanied by destruction of their walls and without obvious fibrosis?
Answer:
emphysema

Question:
11. What disease is describing the weakening and permanent enlargement and destruction of the air spaces
distal to the terminal bronchioles?
Answer:
emphysema

Question:
12. Weakening and permanent enlargement and destruction of the air spaces distal to the terminal
bronchioles, destruction of the A-C membrane, weakening of the distal airways (primarily the respiratory
bronchioles), air trapping and hyperinflation, and use collateral ventilation through pores of kohn and
canals of lambert are all anatomic alteration of the lungs associated with what disease process?
Answer:
emphysema

Question:
13. What are the two types of emphysema?
Answer:
panacinar (panlobular) and centriacinar (centrilobular)

Question:
14. Which type of emphysema is the abnormal weakening and enlargement of all alveoli (respiratory
bronchioles, alveolar ducts, alveolar sacs, and alveoli) distal to the terminal bronchioles. The entire acinus
is affected by dilation and destruction?
Answer:
panacinar

Question:
15. Which type of emphysema is associated with the deficiency of the protease inhibitor
alpha1-antitrypsin?
Answer:
panacinar