COPD/Smoking
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Questions and Answers

What is the most common cause of COPD?

  • Chronic inflammation of the bronchi
  • Cigarette smoking (correct)
  • Hyperinflation of the lung bronchioles
  • Increased levels of proteases due to genetic factors
  • Which enzyme is increased due to cigarette smoking and contributes to the breakdown of elastin in alveoli and small airways?

  • Proteases (correct)
  • Kinase
  • Elastase
  • Antitrypsin
  • How does chronic bronchitis contribute to the course of COPD?

  • By destroying alveoli and small airways
  • By causing hyperinflation of the lung bronchioles
  • By reducing lung elasticity
  • By increasing mucous production and obstruction of airways (correct)
  • Which genetic/environmental factor is associated with an underrecognized risk for COPD due to its role in preventing increased levels of proteases?

    <p>AAT deficiency</p> Signup and view all the answers

    What is the main consequence of air trapping in the lungs in COPD?

    <p>Increased infection risk</p> Signup and view all the answers

    What is the primary reason for the ‘air hunger’ experienced by COPD patients?

    <p>Increased demand for oxygen due to muscle use</p> Signup and view all the answers

    What is the risk of developing COPD in a person who inherits 1 faulty gene and smokes?

    <p>High risk of COPD</p> Signup and view all the answers

    What lab test may be used to rule out infections in a patient with suspected COPD?

    <p>Complete Blood Count (CBC)</p> Signup and view all the answers

    What is a compensatory mechanism for hypoxemia seen in COPD patients?

    <p>Elevated RBCs (polycythemia)</p> Signup and view all the answers

    What imaging test may show hyperinflation and a flattened diaphragm in a patient with COPD?

    <p>Chest X-ray</p> Signup and view all the answers

    Which medication class is NOT commonly used in the treatment of COPD?

    <p>Antibiotics</p> Signup and view all the answers

    What is the recommended oxygen therapy range for hypoxic COPD patients?

    <p>$2-4L/min or 40% venturi mask$</p> Signup and view all the answers

    How should the patient be positioned to aid effective coughing in COPD?

    <p>$Sitting upright$</p> Signup and view all the answers

    What is a goal for a patient with COPD in terms of maintaining gas exchange?

    <p>$Maintains cognitive orientation$</p> Signup and view all the answers

    What complication may lead to hospitalizations in patients with COPD?

    <p>$Respiratory infection/failure$</p> Signup and view all the answers

    What should be monitored in a patient with COPD to assess drug therapy effectiveness?

    <p>Peak expiratory flow rates</p> Signup and view all the answers

    Which dietary recommendation is appropriate for a patient with COPD?

    <p>High protein, high calorie diet</p> Signup and view all the answers

    What is the primary complication responsible for ineffective management of hypoxia in patients with COPD?

    <p>Hypoventilation</p> Signup and view all the answers

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