COPD Test Questions and Answers Rated A
Cardinal Symptoms in COPD - -● Cough
● Dyspnea Main Cause of COPD - -History of tobacco
● Sputum production smoking or exposure to chemicals
Effects of COPD on Quality of Life - -● Nature of Cough in COPD - -Usually
Decreased exercise tolerance productive cough
● Limitations in daily activities
● Anxiety/depression
● Increased muscular effort (wheezing; chest COPD: Reversible or irreversible? - -
tightness) Irreversible
● Poor sleep quality (fatigue)
● Weight loss
● Exacerbations First-line COPD Treatment - -
Bronchodilators
Most Common Cause of COPD - -Tobacco
smoking What are the 5 things you need to look at when
assessing COPD? - -● Severity of airflow
limitation (FEV1 post-bronchodilator tests gives
Environmental Causes of COPD - -● Air you the GOLD Grade)
pollution ● Assessment of symptoms (CAT; mMRC)
● Biomass fuel ● Exacerbation history
● Occupational (dusts, vapors, fumes, ● Blood eosinophil count
chemicals) ● Presence and type of other diseases
(multimorbidity)
Genetic / Host Factor Causes of COPD - -
● Prematurity What is the FEV1 for GOLD 1? - -≥ 80%
● Low birthweight predicted
● Genetic abnormalities
● Abnormal lung development
● Childhood respiratory infections What is the FEV1 for GOLD 2? - -50% ≤
● Alpha-1 antitrypsin deficiency (AATD) FEV1 < 80% predicted
(50-79%)
COPD Onset - -Mid-life
What is the FEV1 for GOLD 3? - -30% ≤
FEV1 < 50% predicted
COPD Symptoms - -Slowly progressive (30-49%)
COPD Time of Symptoms - -Cough What is the FEV1 for GOLD 4? - -FEV1 <
throughout the day 30% predicted
1/5
, COPD Test Questions and Answers Rated A
well.
What are examples of COPD symptom 3. Remove the cap and check for any foreign
assessment tools? - -● COPD Assessment objects.
Test (CAT) 4. Exhale completely.
● Modified Medical Research (mMRC) Dyspnea 5. Place lips around the mouthpiece.
Scale 6. Breathe in and press the top of the canister at
the same time.
7. Hold breath for 10 seconds, then exhale
What nonpharmacologic treatments are involved slowly. Wait 1 minute if another puff is indicated.
in COPD management? - -● Smoking 8. Put the cap back on the mouthpiece of the
cessation is key! inhaler.
● Pulmonary rehabilitation 9. Remove the canister and rinse the mouthpiece
● Long-term oxygen with warm running water at least once weekly.
● Long-term non-invasive ventilation Allow to air dry.
● Surgical or bronchoscopic intervention 10. Keep track of doses with dose counter and
● Vaccinations (influenza, Tdap, pneumococcal, request refills appropriately.
COVID-19, shingles, respiratory syncytial virus
(RSV))
General DPI Instructions - -1. Open the
diskus/ellipta by sliding the thumb grip until the
Common Side Effects of SABAs and LABAs - mouthpiece is revealed.
-● Cough 2. Hold the diskus/ellipta in a level, flat position
● Tremor with the mouthpiece towards you.
● Tachycardia 3. Slide the lever away from the mouthpiece as
● Nervousness far as it will go.
● Airway irritation 4. Breathe out and away from the mouthpiece.
5. Place lips around the mouthpiece and inhale
quickly and deeply.
6. Hold breath for 10 seconds, then exhale
Examples of SABAs - -● Albuterol
slowly.
● Levalbuterol
7. Place your thumb on the thumb grip and slide
it back to close the device.
8. Rinse your mouth with water and spit after
Examples of LABAs - -● Arformoterol each dose if this device contains an ICS.
● Formoterol 9. Clean the mouthpiece by wiping with a dry
● Olodaterol tissue or cloth. Do not wash or put in water.
● Salmeterol 10. Keep track of doses with dose counter and
● Vilanterol request refills appropriately.
General MDI Instructions - -1. Prime the MDI Key Points - -● Delivers a dose of
device before first use by shaking the inhaler and aerosolized liquid medication
spraying away from the face; repeat process for ● Uses a propellant (HFA)
a total of 3 times. Also prime if the device has not ● Requires slow and deep inhalation at same
been used for >2 weeks. time as pressing the canister
2. For use after the first time, shake the inhaler ● A spacer may be used for patients who cannot
2/5
Cardinal Symptoms in COPD - -● Cough
● Dyspnea Main Cause of COPD - -History of tobacco
● Sputum production smoking or exposure to chemicals
Effects of COPD on Quality of Life - -● Nature of Cough in COPD - -Usually
Decreased exercise tolerance productive cough
● Limitations in daily activities
● Anxiety/depression
● Increased muscular effort (wheezing; chest COPD: Reversible or irreversible? - -
tightness) Irreversible
● Poor sleep quality (fatigue)
● Weight loss
● Exacerbations First-line COPD Treatment - -
Bronchodilators
Most Common Cause of COPD - -Tobacco
smoking What are the 5 things you need to look at when
assessing COPD? - -● Severity of airflow
limitation (FEV1 post-bronchodilator tests gives
Environmental Causes of COPD - -● Air you the GOLD Grade)
pollution ● Assessment of symptoms (CAT; mMRC)
● Biomass fuel ● Exacerbation history
● Occupational (dusts, vapors, fumes, ● Blood eosinophil count
chemicals) ● Presence and type of other diseases
(multimorbidity)
Genetic / Host Factor Causes of COPD - -
● Prematurity What is the FEV1 for GOLD 1? - -≥ 80%
● Low birthweight predicted
● Genetic abnormalities
● Abnormal lung development
● Childhood respiratory infections What is the FEV1 for GOLD 2? - -50% ≤
● Alpha-1 antitrypsin deficiency (AATD) FEV1 < 80% predicted
(50-79%)
COPD Onset - -Mid-life
What is the FEV1 for GOLD 3? - -30% ≤
FEV1 < 50% predicted
COPD Symptoms - -Slowly progressive (30-49%)
COPD Time of Symptoms - -Cough What is the FEV1 for GOLD 4? - -FEV1 <
throughout the day 30% predicted
1/5
, COPD Test Questions and Answers Rated A
well.
What are examples of COPD symptom 3. Remove the cap and check for any foreign
assessment tools? - -● COPD Assessment objects.
Test (CAT) 4. Exhale completely.
● Modified Medical Research (mMRC) Dyspnea 5. Place lips around the mouthpiece.
Scale 6. Breathe in and press the top of the canister at
the same time.
7. Hold breath for 10 seconds, then exhale
What nonpharmacologic treatments are involved slowly. Wait 1 minute if another puff is indicated.
in COPD management? - -● Smoking 8. Put the cap back on the mouthpiece of the
cessation is key! inhaler.
● Pulmonary rehabilitation 9. Remove the canister and rinse the mouthpiece
● Long-term oxygen with warm running water at least once weekly.
● Long-term non-invasive ventilation Allow to air dry.
● Surgical or bronchoscopic intervention 10. Keep track of doses with dose counter and
● Vaccinations (influenza, Tdap, pneumococcal, request refills appropriately.
COVID-19, shingles, respiratory syncytial virus
(RSV))
General DPI Instructions - -1. Open the
diskus/ellipta by sliding the thumb grip until the
Common Side Effects of SABAs and LABAs - mouthpiece is revealed.
-● Cough 2. Hold the diskus/ellipta in a level, flat position
● Tremor with the mouthpiece towards you.
● Tachycardia 3. Slide the lever away from the mouthpiece as
● Nervousness far as it will go.
● Airway irritation 4. Breathe out and away from the mouthpiece.
5. Place lips around the mouthpiece and inhale
quickly and deeply.
6. Hold breath for 10 seconds, then exhale
Examples of SABAs - -● Albuterol
slowly.
● Levalbuterol
7. Place your thumb on the thumb grip and slide
it back to close the device.
8. Rinse your mouth with water and spit after
Examples of LABAs - -● Arformoterol each dose if this device contains an ICS.
● Formoterol 9. Clean the mouthpiece by wiping with a dry
● Olodaterol tissue or cloth. Do not wash or put in water.
● Salmeterol 10. Keep track of doses with dose counter and
● Vilanterol request refills appropriately.
General MDI Instructions - -1. Prime the MDI Key Points - -● Delivers a dose of
device before first use by shaking the inhaler and aerosolized liquid medication
spraying away from the face; repeat process for ● Uses a propellant (HFA)
a total of 3 times. Also prime if the device has not ● Requires slow and deep inhalation at same
been used for >2 weeks. time as pressing the canister
2. For use after the first time, shake the inhaler ● A spacer may be used for patients who cannot
2/5
