Now you should have a decent understanding of the basic concepts of COPD. Arterial blood gases show a … The Board of Review should try to gain a sense of how the Scout is fitting in to the Troop, and the Scout's level of enjoyment of the Troop and Patrol activities. Thank you so much for reading and as always, breathe easy my friend. The patient has a chronic productive cough with dyspnea on excretion. Because COPD causes wasting, weight gain resulting from smoking cessation is not much of a problem. 1. What are other ways to diagnose chronic obstructive pulmonary disease?Laboratory values, electrocardiogram (EKG), arterial blood gas (ABG) and chest x-ray (CXR). What is not a benefit of long-term oxygen therapy?Better absorption of medications and better mental functioning. So if you’re ready, let’s get started. It is not from a specific disease. Asthma B. COPD C. Neither D. Both. The Flashcards are review questions and can be used to study for medical board exams including the USMLE Step Exams and the ABIM Internal Medicine Exam. 38. Indications for CXR in COPD exacerbation: Three most common bacterial agents in COPD exacerbation: Atypicals (M. and C. pneumo, legionella) are associated with what percentage of bacterial COPD flares? Avoid other lung infections. It is pertinent to establish a baseline in order to start treatment and follow-up to track the progression of this disease. 69. Posteroanterior chest x-ray for Question 9. What are the differences on the major symptoms between chronic bronchitis and emphysema?In chronic bronchitis, symptoms consist of excessive sputum production for at least 3 months for a year and twice in a row while emphysema’s symptoms consist of the destruction of the gas exchange surfaces. 9. What is the preferred long-term steroid administration route and why is it preferred?It is inhaled administration route because they don’t have the side effects of systemic steroids. Included topics in this practice quiz are: 1. What are the criteria for home oxygen use?PaO2<55% or SaO2 <88% on room air taken 2 times over 3 weeks period in stable patient and PaO2 55-60% if evidence of pulmonary hypertension (HTN), congestive heart failure (CHF), or polycythemia. Add to folder[?] Initial round-the clock management of COPD: Indication to add ICS to initial COPD management: tiotropium, an anticholinergic inhaler used for COPD management. 4. A patient with a myocardial infarction (MI) is at risk for left-sided heart failure. Subjects: ancc anp asthma boards copd fitzgerald np. Different preparations are NOT interchangeable mg to mg. Clinical uses of anticholinergics (ipratropium and tiotropium). What are the characteristics of chronic bronchitis?Chronic bronchitis is characterized by a productive cough that lasts at least three months with recurring bouts occurring for at least two consecutive years, copious amounts of mucus production, airway obstruction due to bronchial inflammation and destruction of the pulmonary acini. These board review questions and guide are created by PulmCCM contributors and are not eligible for ACCME / AMA PRA Category 1 Credit TM nor endorsed by any educational or professional entity. Breath sounds and x-ray have no significant changes. Try this amazing COPD Test 3 quiz which has been attempted 1358 times by avid quiz takers. What does COPD stand for? Paul W. Jones, MD, PhD, is the global medical expert for the respiratory franchise at GSK. There is a decrease in vital capacity (VC), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), and a normal forced expiratory volume in one second (FEV1) and forced vital capacity (FVC 78) that is 83% if less than 50% significant disease. “CDC – Basics About COPD – Chronic Obstructive Pulmonary Disease (COPD).” Centers for Disease Control and Protection, 19 July 2019. 8th ed., Mosby, 2019. It’s a worsening state of COPD that usually indicates that the patient is in need of increased medication dosages or other forms of care. Symptoms and airflow limitation increase despite maximal therapy with other drugs. This could include noninvasive ventilation (BiPAP, CPAP, etc.) COPD NCLEX Questions. 51. Bronchial Asthma 3. What are the diagnostic test and result of chronic bronchitis?Chest x-ray (CXR) shows hyperinflation or air trapping, translucent or very dark, increased A-P diameter (barrel chest), flattened Diaphragm or blunted costophrenic angle, spider like projection in the bronchogram, and enlarged heart. 17. Losartan 50 mg, HCTZ 12.5 mg, Amlodipine 5 mg daily, Tamsulosin (Flomax) 0.8 mg daily, Atorvastatin (Lipitor) 10 mg daily, Albuterol inhaler 2 puffs PRN for SOB, tiotropium (Spiriva) once daily We'll notify you in the weekly email as we add new quizzes and board review questions in critical care and pulmonary medicine. What are criteria for well-controlled asthma or asthma that is intermittent and does not require controller therapy? 18. montelukast is not an CYP inhibitor. What type of chronic obstructive pulmonary disease is referred as a “pink puffer”?Emphysema, 60. These early decisions about overal… “Chronic Obstructive Pulmonary Disease Exacerbations: Latest Evidence and Clinical Implications.” PubMed Central (PMC), 1 Sept. 2014. Next, we will discuss the treatment methods for COPD. Ipratropium bromide, when used in COPD provides which therapeutic effect: What is the pathophysiology of emphysema? Characteristic timing of symptoms that suggests asthma: A worsening of asthma symptoms may be seen after: What is necessary to make the diagnosis of asthma: When is peak flow metering done re: asthma? How We Create Content. 33. What medications are used in the management of COPD?These are racemic epinephrine, Albuterol/Proventil (ventilin), Levalbuterol (xopenex), Salmeterol, Formoterol, Arformoterol (brovana), Ipratropium (atrovent), Tiotropium (sprivia), Budesonide (pulimcort), Mometasone (asmanex), Fluticasone (Flovent), Beclomethasone (QVAR), Acetylcysteine (mucomyst), and Dornase alpha (rhDNAse), and Nedocromil (tilade). PaO2<55% or SaO2 <88% on room air taken 2 times over 3 weeks period in stable patient and PaO2 55-60% if evidence of pulmonary hypertension (HTN), congestive heart failure (CHF), or polycythemia.. 23. [. The best way to improve your performance on IM board review questions is to use specific board exam test strategies and to take lots of practice questions. Please upgrade to Cram Premium to create hundreds of folders! In this section, we’ve provided several practice questions so that you can dive even deeper into this topic. 58. When can be the onset of chronic obstructive pulmonary disease?Symptoms of chronic obstructive pulmonary disease can first appear up to 20 years. The first few questions in the Board of Review should be simple. Advanced signs of chronic bronchitis includes a chronic cough with increased mucus, increased respiratory rate (RR), heart rate (HR), carbon dioxide (CO), blood pressure (BP), dyspnea especially with exertion, increased work of breathing (WOB) with prolonged expiration, diagnostic palpation/percussion, decreased tactile and vocal fremitus, hyper resonant percussion note in breath sounds, and decreased conditioned reflex (Cr). 64. These are all common questions from students enrolled in certain medical school programs. Bronchodilator. 12. What type of COPD has “quiet” breath sounds without adventitious sounds on auscultation?Emphysema. 19. A patient is presenting with chronic obstructive pulmonary disease. According to the CDC, it’s the third leading cause of death in the United States. Just simply break it down and use each letter as follows: Again, you can easily memorize this acronym as a simple way to learn which disorders are classified as obstructive diseases. 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