NAPLEX COPD Questions with Correct Answers (Grade A+)
Question 1: COPD
Answer: chronic, progressive symptoms of obstructive airflow
Question 2: emphysema
Answer: destruction of alveoli
Question 3: bronchitis
Answer: inflammation and narrowing of bronchial tubes
Question 4: What genetic condition increases risk for COPD?
Answer: alpha-1 antitrypsin deficiency
Question 5: How is COPD diagnosed?
Answer: symptoms + history of smoking; post-bronchodilator FEV1/FVC <70%
Question 6: How is COPD staged?
Answer: based on post-bronchodilator FEV1
Question 7: GOLD1
Answer: mild COPD; FEV1 e80% predicted
Question 8: GOLD2
Answer: moderate COPD; FEV1 50-80% predicted
Question 9: GOLD3
Answer: severe COPD; FEV1 30-50% predicted
Question 10: GOLD4
Answer: very severe COPD; FEV1 <30% predicted
Question 11: What are the 2 ways to assess symptom control in COPD?
Answer: mMRC (breathlessness) and CAT (comprehensive)
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, Question 12: COPD exacerbation
Answer: increase in respiratory symptoms over <14 days
Question 13: frequent COPD exacerbations
Answer: >2 per year
Question 14: How is COPD treatment determined?
Answer: assess symptoms and exacerbation risk - ABE
Question 15: COPD A
Answer: 0-1 exacerbations (no hospitalizations); CAT <10; mMRC 0-1
Question 16: COPD B
Answer: 0-1 exacerbations (no hospitalizations); CAT e10; mMRC e2
Question 17: COPD E
Answer: e2 exacerbations per year or e1 hospitalization
Question 18: nonpharmacologic COPD treatment
Answer: smoking cessation, annual flu, pneumococcal, Tdap vaccines
Question 19: COPD A treatment
Answer: prn SABA or SAMA; LAMA or LABA
Question 20: COPD B treatment
Answer: LAMA + LABA
Question 21: COPD E treatment
Answer: LAMA + LABA (+ ICS if eosinophils e300)
Question 22: What do you do if a COPD pt has exacerbations on LAMA + LABA?
Answer: add ICS if eosinophils e100; otherwise add roflumilast or azithromycin
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Question 1: COPD
Answer: chronic, progressive symptoms of obstructive airflow
Question 2: emphysema
Answer: destruction of alveoli
Question 3: bronchitis
Answer: inflammation and narrowing of bronchial tubes
Question 4: What genetic condition increases risk for COPD?
Answer: alpha-1 antitrypsin deficiency
Question 5: How is COPD diagnosed?
Answer: symptoms + history of smoking; post-bronchodilator FEV1/FVC <70%
Question 6: How is COPD staged?
Answer: based on post-bronchodilator FEV1
Question 7: GOLD1
Answer: mild COPD; FEV1 e80% predicted
Question 8: GOLD2
Answer: moderate COPD; FEV1 50-80% predicted
Question 9: GOLD3
Answer: severe COPD; FEV1 30-50% predicted
Question 10: GOLD4
Answer: very severe COPD; FEV1 <30% predicted
Question 11: What are the 2 ways to assess symptom control in COPD?
Answer: mMRC (breathlessness) and CAT (comprehensive)
Page 1
, Question 12: COPD exacerbation
Answer: increase in respiratory symptoms over <14 days
Question 13: frequent COPD exacerbations
Answer: >2 per year
Question 14: How is COPD treatment determined?
Answer: assess symptoms and exacerbation risk - ABE
Question 15: COPD A
Answer: 0-1 exacerbations (no hospitalizations); CAT <10; mMRC 0-1
Question 16: COPD B
Answer: 0-1 exacerbations (no hospitalizations); CAT e10; mMRC e2
Question 17: COPD E
Answer: e2 exacerbations per year or e1 hospitalization
Question 18: nonpharmacologic COPD treatment
Answer: smoking cessation, annual flu, pneumococcal, Tdap vaccines
Question 19: COPD A treatment
Answer: prn SABA or SAMA; LAMA or LABA
Question 20: COPD B treatment
Answer: LAMA + LABA
Question 21: COPD E treatment
Answer: LAMA + LABA (+ ICS if eosinophils e300)
Question 22: What do you do if a COPD pt has exacerbations on LAMA + LABA?
Answer: add ICS if eosinophils e100; otherwise add roflumilast or azithromycin
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