COPD Flashcards

1
Q

COPD is the combination of what three disease processes?

A

emphysema, chronic bronchitis, inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is emphysema?

A

abnormal enlargement of alveoli due to wall destruction that causes air trapping in alveoli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define chronic bronchitis.

A

presence of cough and sputum for at least 3 months in each of two consecutive years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens to airway structure as a consequence of chronic bronchitis?

A

fibrosis and gradual airway narrowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the type of airflow limitation seen in COPD.

A

progressive and persistent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are two points of contrast between asthma and COPD?

A

Asthma is reversible, COPD is not. Also, COPD is a preventable disease, while asthma is not.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which risk factors are avoidable in COPD?

A

smoking, exposure to irritating particles (smoke, occupational, pollution)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the hallmark symptoms regarding COPD diagnosis?

A

chronic cough, dyspnea, and sputum production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Consider a diagnosis of COPD if the patient: (3 things)

A

(1) is 40 years of age or older and has any of the hallmark symptoms
(2) has a history of exposure to particles known to be involved in COPD
(3) has a family history of COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

COPD signs

A

(1) barrel chest
(2) pursed lip breathing
(3) use of accessory muscles in breathing
(4) increased respiratory rate
(5) prolonged expiration
(6) decreased breath sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

______ is required to diagnose COPD.

A

Spirometry (FEV1/FVC < 70% post bronchodilator)

These measurements are compared to normal predicted values.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Outline the 4 GOLD classifications regarding FEV1.

A

GOLD 1-FEV1 > 80% predicted
GOLD 2-FEV1 between 50 and 79%
GOLD 3-FEV1 between 30 and 49%
GOLD 4-FEV1 < 30% predicted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The four GOLD groups are based on ________ and _________.

A

symptoms and exacerbation risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

mMRC 0-1 = GOLD groups __ & __

mMRC 2 or more = GOLD groups __ & __

A

0-1 = A or C

2 or more = B or D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly