RESPIRATORY - COPD

Question 1

What is the symptoms of COPD ?

Answer 1

Dyspnea (hallmark)
Cough
Chronic sputum
Wheezing

Question 2

For the medical history , what do you want to ask /know ?

Answer 2

Exposure to risk factors
-smoking
-occupational and environmental exposures to other lung irritants

Question 3

How you calculate the total pack years ?

Answer 3

Number of cigarettes smoked per day divided 20 times number of years of smoking

Question 4

So what investigation you want to do to diagnose this case ?

Answer 4

Spriometry
Bronchodilator reversibility testing
Chest radiograph

Question 5

On chest radiograph , what do you expected ?

Answer 5

Hyperinflation
Bullae
Hyperlucency of lungs

Question 6

What is the DDx of COPD ?

Answer 6

Bronchial asthma
Bronchiectasis
Pulmonary TB

Question 7

Drug used in mild acute COPD attack

Answer 7

SABA
or
SAAC
or
Both

Question 8

Drug used in severe acute COPD attack

Answer 8

LAAC
or
LABA
or
ICS+ LABA

ICS - inhaled corticosteroid

Question 9

If the patient are symptomatic despite maximum inhaled therapy , what will you give ?

Answer 9

Theophylline

Theophylline is bronchodilator

Question 10

What does grade 0 MMRC means

Answer 10

not troubled breathlessness except on strenuous exercise

Question 11

What does Grade 1on MMRC means ?

Answer 11

Shortness of breath when hurrying on the level or walking up a slight hill

Question 12

What does Grade 2 on MMRC means

Answer 12

Walks slower than the same age on the level because need to stop for breath

Question 13

What does Grade 3 on MMRC means ?

Answer 13

Stops to breath after walking about 100m

Question 14

What does Grade 4 on MMRC means

Answer 14

too breathless to leave the house
or
breathless when dressing or undressing