NUR 622 (Adult_Gero Acute) MOD #6, COPD, asthma, CF_bronchiectasis Questions with
CORRECT Answers (Grade A+)
Question 1:
again, COPD on CXR
Answer:
hyperinflation of lungs - diaphragm is rounded out on bottom
Question 2:
-chronic dyspnea (worse with exercise) -recurrent wheezing -chronic cough -sputum production
-fatigue -frequent respiratory infections -weight loss are all s/s of
Answer:
COPD
Question 3:
with above symptoms, what is the diagnostic for COPD?
Answer:
FEV1/FVC < 0.7 pre and post bronchodilator
Question 4:
risk factors for COPD
Answer:
smoking, occupational/dust exposure, and alpha 1 antitrypsin deficiency
Question 5:
COPD on physical exam
Answer:
-use of accessory muscles -pursed lip breathing -barrel chest -cyanosis -low flat diaphragm
-reduced breath sound/wheezing -fingernail clubbing
Question 6:
PFT findings in COPD
Answer:
, -FEV1/FVC <70 -decreased FVC (air trapping) -increased RV (air trapping) -increased TLC
(inflammation)
Question 7:
using FEV1 to grade COPD severity (in patients with a confirmed FEV1/FVC <0.7)
Answer:
FEV1 >80 (mild) FEV1 50-80 (moderate) FEV1 30-50 (severe) FEV1 <30 (very severe)
Question 8:
vaccines for COPD
Answer:
flu, pneumococcal, COVID, RSV, TDAP, shingles
Question 9:
drug treatment COPD
Answer:
0-1 moderate exacerbations per year (no hospitalizations) - LABA (salmeterol) or LAMA
(ipratropium) >2 exacerbations per year or with hospitalization - LABA + LAMA
Question 10:
so again, which meds are used in COPD for maintenance of stable exacerbations with no
hospitalization?
Answer:
LABA (long acting beta agonist) or LAMA (long acting muscarinic antagonist)
Question 11:
if there is a history or recurrent hospitalizations, eosinophils over 300, hx of asthma, strongly
consider adding
Answer:
inhaled corticosteroids (ICS) to medication management
Question 12:
avoid ICS with
CORRECT Answers (Grade A+)
Question 1:
again, COPD on CXR
Answer:
hyperinflation of lungs - diaphragm is rounded out on bottom
Question 2:
-chronic dyspnea (worse with exercise) -recurrent wheezing -chronic cough -sputum production
-fatigue -frequent respiratory infections -weight loss are all s/s of
Answer:
COPD
Question 3:
with above symptoms, what is the diagnostic for COPD?
Answer:
FEV1/FVC < 0.7 pre and post bronchodilator
Question 4:
risk factors for COPD
Answer:
smoking, occupational/dust exposure, and alpha 1 antitrypsin deficiency
Question 5:
COPD on physical exam
Answer:
-use of accessory muscles -pursed lip breathing -barrel chest -cyanosis -low flat diaphragm
-reduced breath sound/wheezing -fingernail clubbing
Question 6:
PFT findings in COPD
Answer:
, -FEV1/FVC <70 -decreased FVC (air trapping) -increased RV (air trapping) -increased TLC
(inflammation)
Question 7:
using FEV1 to grade COPD severity (in patients with a confirmed FEV1/FVC <0.7)
Answer:
FEV1 >80 (mild) FEV1 50-80 (moderate) FEV1 30-50 (severe) FEV1 <30 (very severe)
Question 8:
vaccines for COPD
Answer:
flu, pneumococcal, COVID, RSV, TDAP, shingles
Question 9:
drug treatment COPD
Answer:
0-1 moderate exacerbations per year (no hospitalizations) - LABA (salmeterol) or LAMA
(ipratropium) >2 exacerbations per year or with hospitalization - LABA + LAMA
Question 10:
so again, which meds are used in COPD for maintenance of stable exacerbations with no
hospitalization?
Answer:
LABA (long acting beta agonist) or LAMA (long acting muscarinic antagonist)
Question 11:
if there is a history or recurrent hospitalizations, eosinophils over 300, hx of asthma, strongly
consider adding
Answer:
inhaled corticosteroids (ICS) to medication management
Question 12:
avoid ICS with
