COPD

Question 1

What is the only way to slow the rate of decline of lung function?

Answer 1

Smoking cessation

Question 2

What does the C in COPDX stand for

Answer 2

Confirming diagnosis - using spirometer

Question 3

What does the O in COPDX stand for

Answer 3

Optimise lung function

Question 4

What does the P in COPDX stand for

Answer 4

Prevent deterioration in lung function - smoking cessation

Question 5

What does the D in COPDX stand for

Answer 5

Develop a care plan - should have an action plan + appropriate management of medications

Question 6

What does the X in COPDX stand for

Answer 6

Manage exacerbations

Question 7

Which 2 medication classes might be used in exacerbations of COPD?

Answer 7

Antibiotics and oral corticosteroids

Question 8

SAMA inhalers cannot be used with which other class?

Answer 8

LAMA

Question 9

Is doubling up of inhaler classes recommended? Including combination products?

Answer 9

No. Do not double up

Question 10

When should / shouldn’t ICSs be used?

Answer 10

Inhaled corticosteroids
Should be used = frequent exacerbations, history of asthma, high white blood cell count
Shouldn’t be used = history of mycobacterial infection, pneumonia history, low white blood cell count

Question 11

Ipratropium drug class?

Answer 11

SAMA

Question 12

Name 2 LAMAs

Answer 12

Glycopyrronium, tiotropium