Chronic Obstructive Pulmonary Disease Treatment (6 to 10) 30 01 24

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6) When considering adding an ICS to initial dual therapy with LAMA/LABA, which factor is most relevant?

1 point

a. Hospitalization rates

b. Whether the patient is currently on LTOT

c. A blood eosinophil level ≥ 300 cells/µL

d. A forced expiratory volume in the first second of > 80%

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7) Follow-up COPD treatment should be on the basis of which two treatable traits?

1 point

a. FEV1 value and blood eosinophil count

b. Persistent dyspnea and exacerbations

c. Nocturnal oxygen saturation values and FEV1 value

d. Presence of bronchiectasis on CT and persistent dyspnea

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8) According to the current recommendations, what is the minimum number of weeks pulmonary rehabilitation should last for patients with COPD?

1 point

a. 6 weeks

b. 8 weeks

c. 12 weeks

d. 24 weeks

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9) A 55-year-old man with tobacco use disorder presents to an outpatient clinic with an ongoing productive cough on most days for the past 6 months. He is in no acute distress, and lung auscultation reveals coarse crackles bilaterally. Laboratory studies and chest x-ray findings are unremarkable. Which is essential to the long-term improvement of this patient's condition?

1 point

a. An inhaled bronchodilator

b. An oral antibiotic

c. An oral corticosteroid

d. Smoking cessation

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10) A 52-year-old woman presents with a 5-month history of a cough producing clear sputum and chest pain. She denies any history of fever. She worked in a rubber factory for 10 years before quitting 2 months ago. She does not smoke herself, but her husband has been smoking about 20 cigarettes per day for the past 15 years. Oxygen saturation 92% of room air. Lung auscultation demonstrates quiet breath sounds. Spirometry reveals the FEV1/FVC ratio to be <0.7, and after a bronchodilator is given, the FEV1 value is 82% of the predicted. Laboratory test findings are unremarkable. Chest x-ray and EKG show no significant findings. Which is correct regarding the prognosis for this patient?

1 point

a. Increased risk of developing alpha 1 antitrypsin (ATT) deficiency

b. Increased risk of developing autoimmune disease

c. Increased risk of mortality one year after diagnosis

d. Increased risk of developing cardiac disease

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