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 (A)</p> Signup and view all the answers

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

<p>Increased infection risk (D)</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 (B)</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 (A)</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) (D)</p> Signup and view all the answers

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

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

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

<p>Antibiotics (B)</p> Signup and view all the answers

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

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

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

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

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

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

What complication may lead to hospitalizations in patients with COPD?

<p>$Respiratory infection/failure$ (B)</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 (D)</p> Signup and view all the answers

Which dietary recommendation is appropriate for a patient with COPD?

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

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

<p>Hypoventilation (B)</p> Signup and view all the answers

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