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Section 1
Question | Answer |
clinical presentation chronic bronchitis | blue bloaters, cyanosis, edema, tachycardia |
clinical presentation of emphysema | pink puffer, tachypnea, use of accessory muscles |
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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% |
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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 |
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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 |
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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 |
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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 |
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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 |
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