BCACP 2023 EXAM REVIEW WITH COMPLETE SOLUTIONS

What is the cutoff for diagnosis of COPD? - ANSWER-FEV1/FVC < 0.7 What is the criteria for GOLD Stage 1? - ANSWER-FEV1 (predicted) >80 What is the criteria for GOLD Stage 2? - ANSWER-FEV1 (predicted) 50-80 What is the criteria for GOLD Stage 3? - ANSWER-FEV1 (predicted) 30-50 What is the criteria for GOLD Stage 4? - ANSWER-FEV1 (predicted) <30 What is used as classification of COPD Class A? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER-<2/<10/0 or 1/0 (low symptoms, low risk of hospitalization) What is used as classification of COPD Class B? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER-2+/10+/0 or 1/0 (high symptoms, low risk of hospitalization) What is used as classification of COPD Class C? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER-<2/<10/2+/1+ (low symptoms, high risk of hospitalization) What is used as classification of COPD Class D? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER-2+/10+/2+/1+ (high symptoms, high risk of hospitalization) What is preferred treatment for COPD Class A? - ANSWER-Bronchodilator What is preferred treatment for COPD Class B? - ANSWER-LABA or LAMA What is preferred treatment for COPD Class C? - ANSWER-LAMA (+/- LABA) What is preferred treatment for COPD Class D? - ANSWER-LAMA + LABA (+/- ICS) What is the preferred length of therapy for oral corticosteroids for COPD exacerbations? - ANSWER-5 days What is CURB 65? - ANSWER-Confusion, BUN >20, RR >30, BP <90/<60, age 65 How would you treat CAP if CURB 65 score if 0? - ANSWER-Outpatient