Section 1
| Question | Answer |
|---|
| clinical presentation chronic bronchitis | blue bloaters, cyanosis, edema, tachycardia |
| clinical presentation of emphysema | pink puffer, tachypnea, use of accessory muscles |
| memorize |
Section 2
| Question | Answer |
|---|
| Grade 0 | FEV1/FVC > 0.70, FEV1 > 80% |
| Grade 1 | FEV1/FVC < 0.70, FEV1 > 80% |
| Grade 2 | FEV1/FVC < 0.70, FEV1 between 50-80% |
| Grade 3 | FEV1/FVC < 0.70, FEV1 < 50% |
| Grade 4 | FEV1/FVC < 0.70, FEV1 < 30% or if chronic respiratory failure less than 50% |
| memorize |
Section 3
| Question | Answer |
|---|
| Beta adrenergic agonists- short acting (SABA) | albuterol, fenoterol, levalbuterol, terbutaline |
| Beta adrenergic agonists- long acting (LABA) | salmeterol, formoterol, oladaterol, vilanterol |
| Anticholinergics- short acting (SAMA) | ipratroprium bromide, oxytropium, |
| Anticholinergics- long acting (LAMA) | tiotropium |
| Inhaled glucocorticosteroids | fluticasone, beclomethasone, budesonide |
| Phosphodiesterase 4 inhibitors | roflumilast |
| Macrolides | azithromycin |
| memorize |
Section 4
| Question | Answer |
|---|
| Side effects of beta 2 agonists | tachycardia, palpitations, tremor |
| Side effects of anticholinergics | dry mouth cough. Caution with glaucoma, BPH, bladder neck obstruction, peanut allergy |
| Side effects of inhaled glucocorticosteroids | oropharyngeal candidiasis, dysphonia |
| Side effects of theophylline | nausea, diarrhea, tremor, anxiety, seizures, cardia dysrhythmia |
| memorize |
Section 5
| Question | Answer |
|---|
| Bronchodilators include beta 2 receptors, anticholinergics | True |
| Bronchodilators are symptom relief, while glucocorticoids and leukotriene stop inflammation | True |
| Theophylline is not a bronchodilator | False |
| Phosphodiesterase 4 inhibitors are considered for late stage COPD | True |
| memorize |
Section 6
| Question | Answer |
|---|
| Treatment of patient with intermittent symptoms and need rescue treatment | short acting bronchodilator (albuterol, levalbuterol, or ipratropium) |
| Treatment of stable pt with FEV1 60-80% | long acting bronchodilator (salmeterol, formoterol, oladaterol, vilanterol, or tiotropium) |
| Treatment of stable pt with FEV1 < 60% | long acting bronchodilator, or combination product |
| memorize |
Section 7
| Question | Answer |
|---|
| Treatment of mild exacerbation | short acting bronchodilators only (albuterol, fenoterol, levalbuterol, or ipratropium/oxytropium) |
| Treatment of moderate exacerbation | short acting bronchodilators plus antiboitcis and/or corticosteroids |
| Treatment of severe exacerbation | hospitalization |
| Treatment of infectious exacerbation | macrolides, doxycycline, tmp/sulfa, cephalosporins, augmentin |
| memorize |
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2018-09-25 18:49
