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Flashcards in SPT4 Deck (117)
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1

Which of the following is a pathological or anatomical diagnosis marked by abnormal permanent enlargement of the respiratory bronchioles and the alveoli?

Emphysema

2

Which of the following is considered the primary risk factor for the development of COPD?

Smoking

3

Which of the following occurs when comparing patients with COPD to healthy age-matched control?

A and B correct

A. Decreased quadriceps strength

B. Increased functional residual capacity

4

Which of the following are signs and symptoms of COPD?

All of the above

-cough
-sputum production
-dyspnea
-chest tightness

5

TF: Patients with COPD show an increased oxidative stress and a reduction in mitochondrial density and function

True

6

TF: Chronic steroid use has been suggested as a contributor to muscle weakness in patients with COPD

True

7

TF: Smoking cessation has been show to have the same effect on mortality in patients with COPD compared to those who continue to smoke

False

8

TF: In advanced stages of COPD, a slowed inspiration and nutritional depletion are common problems

True

9

Which of the following cut-points for FEV1/FVC is helpful for diagnosing COPD?

<0.7

10

Which of the following should be involved in monitoring the patient with COPD during a clinical exercise test?

All the above

a. 12-lead ECG
b. Blood pressure
c. Dyspnea and leg fatigue
d. Arterial oxygen saturation

11

Which of the following conditions is an additional concern for patients with COPD during an exercise test?

Pulmonary hypertension

12

Which of the following exercises should NOT be used for an exercise test in a patient with COPD?

None of the above
(arm ergometry)

13

TF: There is a reduced ventilatory capacity which decreases the exercise capacity of a patient with COPD

True

14

TF: The goal time frame for an exercise test protocol is 8-10 minutes in a patient with COPD

True

15

TF: The ventilatory equivalent of CO2 is elevated across all stages of COPD severity

True

16

TF: Oxygen therapy has been shown to be an effective treatment for COPD

True

17

Which of the following is a characterization of asthma?

Airway inflammation

18

Which of the following are environmental factors for the development of asthma?

Tobacco smoke

19

Which of the following tests is used to determine the extent of lung function with asthma?

C and D correct

C. Forced expiration volume in 1 second
D. Forced vital capacity

20

Which of the following is recommended for treatment of asthma?

All the above

a. Avoidance of environmental exposures
b. Regular physical activity
c. Healthy diet and weight control
d. Influenza vaccinations

21

TF: Expiratory wheezing with asthma is often heard only on forced expiration

True

22

TF: A FEV1/FVC ratio > 0.8 is an indicator for asthma

False

23

TF: Symptoms of asthma are often worse during the daytime.

False
(Night or awakening)

24

TF: Asthma can affect anyone, include elite athletes.

True

25

Which of the following describes the pathophysiology of exercise-induced bronchospasm?

Heating and humidifying large volumes of air during exercise

26

Which of the following are symptoms of exercise-induced bronchospams?

All the above

a. Dyspnea
b. Chest tightness
c. Wheeze
d. Increased sputum production

27

Which of the following is the recommended frequency of cardiorespiratory exercise for a person with asthma?

Minimum of 2 days/week

28

Which of the following modes of exercise are recommended for patients with asthma?

All the above

a. Treadmill
b. Stationary bike
c. Walking
d. Swimming

29

TF: Children with asthma are not recommended to perform moderate-intensity exercise.

False
(can perform safely)

30

TF: Exercise-induced bronchospasm occurs in a significant number of patients who have asthma.

True