COPD closing activity

In addition to chest x-ray and pulmonary function testing, which of the following studies is most appropriate for young and nonsmoker patients who have symptomatic COPD? 

• CBC 

• Pulse oximetry 

• Serum alpha-1 antitrypsin level 

• Serum electrolyte levels 

True or False : People with COPD should be encouraged to receive the annual flu vaccine. 

• TRUE

• FALSE

Why do patients with emphysema often exhibit purse-lipped breathing? 

•  Chest discomfort during inspiration 

• Reflex response to severe breathlessness 

• Regulates filling of lungs that have increased compliance 

• Increases airway pressure during expiration to reduce air trapping 

Which of the following statements about COPD is False? 

• Patients may benefit from flu vaccinations 

• It can be caused by a1-antitrypsin deficiency 

• Surgical reduction of lung volume may be useful in advanced disease. 

• Bronchodilators such as β-agonists never improve symptoms or lung function 

COPD makes it harder to breathe because 

• The walls of the airways in the lungs become thick and inflamed. 

• The airways are clogged with excess mucus. 

• The lungs lose their elasticity. 

• All of the above. 

True or False: Tiotropium is a long-acting anticholinergic (LAMA) 

• TRUE

• FALSE

A 65-year-old man smoker admitted to the hospital due to dyspnea during excertion, his PFT showed  largely irreversible airflow limitation. what is the most likely diagnosis?  

• Asthma

• COPD

Which of the following might be seen in CXR of a patient with severe Emphysema? 

• Hyperlucency at the lung bases 

• Dome shape diaphragm  

• Narrow costophrenic angles 

• Widened mediastinum  

What type of respiratory disease is COPD? 

• Obstructive

• Restrictive

calculate the dose required if you have the following order:

Albuterol 5 mg (5mg/ml)

Ipratropium Bromide 250mcg (500mcg/2ml)

• 1ml albuterol +1ml ipratropium

• 0.5 ml albuterol + 1 ml ipratropium

• 0.5 ml albuterol + 0.5 ml ipratropium

• 1 ml albuterol + 0.5 ml ipratropium