Solutions
Chronic bronchitis is characterized by regular production of
sputum for:
3 or more months in 2 consecutive years
Patients producing large volumes of sputum may have
underlying:
Bronchiectasis
Purulent sputum reflects in increase in:
Inflammatory mediators
Development of purulent sputum may indicate the onset of a:
Bacterial exacerbation
Which absence of symptoms do not exclude a diagnosis of
COPD?
Wheezing or chest tightness
Common problems in patients with severe and very severe
COPD:
Fatigue, weight loss, and anorexia
Fatigue, weight loss, and anorexia can also be a sign of other
diseases, such as:
Tuberculosis or lung cancer
,What may be the only indicator of the presence of cor
pulmonate?
Ankle swelling
Physical signs of airflow limitation are usually not present until:
Significant impairment of lung function has occurred
Spirometry measurements are evaluated by comparison with
references values based on:
Age, height, sex, and race
Every adult/adolescent should have _________ to prevent
asthma exacerbations and control symptoms:
An ICS-containing controller
Preferred treatment to prevent asthma exacerbations and control
symptoms:
Reliever inhaler PRN and low-dose ICS-formoterol OR SABA
Which treatment is not recommended as mono therapy in
asthma?
SABA
Which 2 receptors inside the lumen of the bronchi are affected
in asthma?
Muscarinic and beta-muscarinic
Muscarinic receptors cause:
Smooth muscle contraction
Beta-muscarinic receptors cause:
, Smooth muscle relaxation
Gold standard of diagnosis of asthma:
PFTs
If FEV1/FVC is <75% in asthma, what does this indicate?
An obstructive process
When initiating the methacoline challenge in asthma, results
should decrease by:
20%
Diagnostic tests/results for asthma:
CBC - increased eosinophils
IgE antibodies - increased
C-xray - hyperinflation
Cardinal manifestation of cardiopulmonary disease:
Dyspnea
Common and disabling symptom of chronic lung disease:
Dyspnea
A barrel chest may be found when examining a patient
complaining of:
Dyspnea
What diagnostic test should be ordered to rule out a pulmonary
embolism in a patient with dyspnea?
V/Q scan