COPD exam UPDATED ACTUAL Exam
Questions and CORRECT Answers
What will the body of a pt with chronic bronchitis look like? - CORRECT ANSWER -
stocky, overweight
Is pursed lip breathing and accessory muscle usage common in chronic bronchitis? - CORRECT
ANSWER - no, uncommon
Peripheral edema and neck vein distention are uncommon in chronic bronchitis- True or false? -
CORRECT ANSWER - false it is common due to cor pulmonale
What will the auscultation of a pt with chronic bronchitis sound like? - CORRECT
ANSWER - wheezes, crackles
What will a CXR look like in a patient with chronic bronchitis? - CORRECT ANSWER -
congested lungs, increased bronchial vascular markings, enlarged horizontal heart
What electrolyte issues can occur in both emphysema and chronic bronchitis? - CORRECT
ANSWER - hypochloremia. hypernatremia
What is the body type of a emphysema pt? - CORRECT ANSWER - thin
What will auscultation sound like in a emphysema pt? - CORRECT ANSWER - decreased
breath sounds, decreased heart sounds, prolonged expiration
What does a normal emphysema CXR look like? - CORRECT ANSWER - translucent,
flattened diaphragm (best seen on lateral view), long narrow heart
What is the pack year equation? - CORRECT ANSWER - packs x years
, ex- 1.5 packs a day for 20 years = 30 pack years
What is the IBW equation? - CORRECT ANSWER - 50kg+ 2.3(every inch over 5 ft)- men
45.5 kg + 2.3(every inch over 5ft) - women
What is the BMI equation? - CORRECT ANSWER - weight (kg) / height (m2)
- 100cm=1m
- 2.54 cm= 1in
What are 4 COPD diagnosis considerations? - CORRECT ANSWER - - Dyspnea worsens
over time, increases with exercise, persists daily, and increases effort of breathing with heavy
breathing.
- Persistent chronic cough and/or nonproductive cough.
- Chronic sputum production of any pattern or nature.
- History of risk factors of tobacco smoke, occupational dusts, or chemicals and/or smoke from
home cooking or heating fuels.
What is considered mild on the GOLD standard? - CORRECT ANSWER - FEV1/FVC
ratio <70%
FEV1 >80% predicted
What is considered moderate on the GOLD standard? - CORRECT ANSWER -
FEV1/FVC ratio 70%
FEV1 50<--- >80% predicted
What is considered severe on the GOLD standard? - CORRECT ANSWER - FEV1/FVC
ratio 70%
FEV1 30<---->50% predicted
Questions and CORRECT Answers
What will the body of a pt with chronic bronchitis look like? - CORRECT ANSWER -
stocky, overweight
Is pursed lip breathing and accessory muscle usage common in chronic bronchitis? - CORRECT
ANSWER - no, uncommon
Peripheral edema and neck vein distention are uncommon in chronic bronchitis- True or false? -
CORRECT ANSWER - false it is common due to cor pulmonale
What will the auscultation of a pt with chronic bronchitis sound like? - CORRECT
ANSWER - wheezes, crackles
What will a CXR look like in a patient with chronic bronchitis? - CORRECT ANSWER -
congested lungs, increased bronchial vascular markings, enlarged horizontal heart
What electrolyte issues can occur in both emphysema and chronic bronchitis? - CORRECT
ANSWER - hypochloremia. hypernatremia
What is the body type of a emphysema pt? - CORRECT ANSWER - thin
What will auscultation sound like in a emphysema pt? - CORRECT ANSWER - decreased
breath sounds, decreased heart sounds, prolonged expiration
What does a normal emphysema CXR look like? - CORRECT ANSWER - translucent,
flattened diaphragm (best seen on lateral view), long narrow heart
What is the pack year equation? - CORRECT ANSWER - packs x years
, ex- 1.5 packs a day for 20 years = 30 pack years
What is the IBW equation? - CORRECT ANSWER - 50kg+ 2.3(every inch over 5 ft)- men
45.5 kg + 2.3(every inch over 5ft) - women
What is the BMI equation? - CORRECT ANSWER - weight (kg) / height (m2)
- 100cm=1m
- 2.54 cm= 1in
What are 4 COPD diagnosis considerations? - CORRECT ANSWER - - Dyspnea worsens
over time, increases with exercise, persists daily, and increases effort of breathing with heavy
breathing.
- Persistent chronic cough and/or nonproductive cough.
- Chronic sputum production of any pattern or nature.
- History of risk factors of tobacco smoke, occupational dusts, or chemicals and/or smoke from
home cooking or heating fuels.
What is considered mild on the GOLD standard? - CORRECT ANSWER - FEV1/FVC
ratio <70%
FEV1 >80% predicted
What is considered moderate on the GOLD standard? - CORRECT ANSWER -
FEV1/FVC ratio 70%
FEV1 50<--- >80% predicted
What is considered severe on the GOLD standard? - CORRECT ANSWER - FEV1/FVC
ratio 70%
FEV1 30<---->50% predicted
