Hosam Mohamed-
smokers, >40 yo, men
Prevalence of COPD is highest in what patients? (3)
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environmental tobacco smoke, occupational dust/chemical, air pollution
What are exposures that can lead to COPD? (3)
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AAT deficiency, airway hyper-responsiveness, impaired lung growth
What are the host-factors that can lead to COPD? (3)
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tuberculosis, HIV
What infections can lead to COPD? (2)
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a
Which is due to abnormal lung development in early life?
a)COPD-D
b)COPD-C
c)COPD-A
d)COPD-G
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d
Which is due to genetic variations?
a)COPD-D
b)COPD-C
c)COPD-A
d)COPD-G
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b
Which is caused by cigarette smoking?
a)COPD-D
b)COPD-C
c)COPD-A
d)COPD-G
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c
Which is caused by asthma/childhood asthma?
a)COPD-D
b)COPD-C
c)COPD-A
d)COPD-G
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Spirometry
____________ test is required to make a diagnosis of COPD.
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dyspnea, recurrent wheeze, chronic cough, recurrent lower RT infections, history of risk factors
What are the clinical indicators of COPD? (5)
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<0.7
What is the FEV1/FVC for a COPD diagnosis?
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breathlessness; symptoms
MMRC measures a patient's degree of _________ through ________ only.
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f; requires two tests
Only one spirometry test is enough to confirm a diagnosis. T/F?
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spirometry, assessment of airflow obstruction (FEV1), symptoms/risk of exacerbation
What are the measures involved in the GOLD ABE Assessment tool? (3)
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a
Recurrent episodes that are exacerbated by triggers.
a) asthma
b) COPD
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b
Progressive disease.
a) asthma
b) COPD
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b
Chronic cough & sputum production.
a) asthma
b) COPD
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a
Significant day-to-day variation of symptoms.
a) asthma
b) COPD
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>= 80% ; mild
GOLD 1:classification
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50-79%; moderate
GOLD 2: classification
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30-49% ; severe
GOLD 3: classification
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< 30%; very severe
GOLD 4: classification
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a
"I only get breathless with strenuous exercise. "
a) mMRC grade 0
b) mMRC grade 1
c) mMRC grade 2
d) mMRC grade 3
e) mMRC grade 4
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b
"I get SOB when hurrying on the level or walking up a slight hill."
a) mMRC grade 0
b) mMRC grade 1
c) mMRC grade 2
d) mMRC grade 3
e) mMRC grade 4
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c
" I walk slower than people of the same age"
a) mMRC grade 0
b) mMRC grade 1
c) mMRC grade 2
d) mMRC grade 3
e) mMRC grade 4
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d
" I stop for breath after walking about 100 meters or a few minutes on the level."
a) mMRC grade 0
b) mMRC grade 1
c) mMRC grade 2
d) mMRC grade 3
e) mMRC grade 4
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e
I am too breathless to leave the house or when dressing/undressing.
a) mMRC grade 0
b) mMRC grade 1
c) mMRC grade 2
d) mMRC grade 3
e) mMRC grade 4
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>=2 moderate exacerbations or >=1 leading to hospitalization
What are the requirements for Group E classification?
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mMRC 0-1; CAT < 10
Group A requirements?
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mMRC >=2; CAT >= 10
Group B requirements?
