Question 1

A patient is experiencing confusion and tremors is admitted to the unit .An initial ABG report indicates that the paCO2 level is 72mmHg whereas the paO2 level is 54mmHg you interpreted that the patient is most likely experiencing:

120

Carbon monoxide poisoning

Respiratory failure type 2

Metabolic acidosis

Respiratory failure type 1

Accepted Answer

Respiratory failure type 2

Answer

Carbon monoxide poisoning

Answer

Metabolic acidosis

Answer

Respiratory failure type 1

Question 2

What is a severe COPD exacerbation?

Accepted Answer

A worsening of symptoms such as increased shortness of breath, coughing, and wheezing.

Answer

An allergic reaction to certain environmental triggers.

Answer

A gradual improvement in lung function.

Answer

A type of pneumonia caused by bacteria.

Question 3

What is a common complication of a severe COPD exacerbation?

Accepted Answer

Respiratory failure.

Answer

Liver cirrhosis.

Answer

Joint pain.

Answer

Hypertension.

Question 4

A patient with COPD is prescribed pulmonary rehabilitation. What is the primary goal of pulmonary rehabilitation?

Accepted Answer

To improve exercise tolerance and quality of life

Answer

To prevent exacerbations

Answer

To decrease inflammation in the airways

Answer

To cure COPD completely

Question 5

A patient with COPD experiences a sudden worsening of symptoms and develops cyanosis, confusion, and difficulty breathing. What is the most appropriate action to take?

Accepted Answer

Administer supplemental oxygen immediately

Answer

Administer a bronchodilator medication

Answer

Administer a diuretic medication

Answer

Administer an antibiotic medication

Question 6

A patient with COPD is prescribed a short-acting beta-agonist inhaler. What is the purpose of this medication?

Accepted Answer

To relieve acute bronchospasm and improve airflow

Answer

To reduce cough and sputum production

Answer

To prevent exacerbations of COPD

Answer

To treat underlying inflammation in the airways

Question 7

A patient with COPD is prescribed a long-acting anticholinergic inhaler. What is the primary mechanism of action of this medication?

Accepted Answer

To relax and dilate the airway smooth muscles

Answer

To thin and loosen mucus in the airways

Answer

To reduce inflammation in the airways

Answer

To inhibit the release of histamine in the airways

Question 8

What is the condition characterized by the breakdown of the walls elastic structure and destruction of the walls of the smallest bronchioles and alveoli?

Accepted Answer

Emphysema

Answer

Arthritis

Answer

Cancer

Answer

Impaired alveoli

Question 9

How is chronic bronchitis diagnosed?

Accepted Answer

When a cough persists for at least 3 months for 2 years

Answer

When the physician says so

Answer

Symptoms include complain of difficulty swallowing

Answer

At least 1 month

Question 10

A patient had an exacerbation of his copd a week ago , now he return to his doctor for follow up (he is already on anticholinergic and LABA the doctor want to try something new with the patient (the patient is group E) what medicine can be used ?

Accepted Answer

Inhaled corticosteroid

Answer

Theophyline

Answer

Add new LABA

Answer

Oral steroid

Question 11

Antibiotic is recommended for COPD patient only if ?

Accepted Answer

All of the above

Answer

increased sputum volume

Answer

increased dyspnea

Answer

increased sputum purulence

Question 12

COPD patient come to the ER ,he needed to be ventilated .His FEV1 is 45% , which antibiotic is needed in his case?

Accepted Answer

Amoxicillin/clavulante

Answer

Amoxicillin

Answer

No need for antibiotic

Answer

TMP/SMX

Question 13

Which is the most common, painless method to diagnose COPD in patients ?

Accepted Answer

Spirometry

Answer

Complete Blood Count

Answer

Basic Metabolic Panel

Answer

Sequential Compression Device

Question 14

What is the leading cause of patients with COPD?

Accepted Answer

Smoking

Answer

Relaxing

Answer

Eating

Answer

Exercising

Question 15

What are the two main types of chronic COPD diseases?

Accepted Answer

Chronic bronchitis and Emphysema

Answer

Peristalsis and Digestion

Answer

Constipation and Impaction

Answer

Cough and Mucus

Question 16

You diagnose a 55-year-old male with COPD in the clinic. His mMRC score is 3 and CAT score is 12. He has not recent hospital admissions. What medication therapy would you initiate?

Accepted Answer

LABA + LAMA

Answer

LABA + LAMA + ICS

Answer

LAMA

Answer

ICS

Question 17

In addition to chest x-ray and pulmonary function testing, which of the following studies is most appropriate for patients <45years who have symptomatic COPD ?

Accepted Answer

Serum alpha-1 antitrypsin level

Answer

CBC

Answer

Serum electrolyte levels

Answer

Pulse oximetry

Question 18

which of the following is not normally associated with chronic bronchitis ?

Accepted Answer

increased total lung capacity

Answer

less than 15% increase in FEV1 following treatment with bronchodilator

Answer

CO2 retention

Answer

polycythaemia

Question 19

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

Accepted Answer

Increases airway pressure during expiration to reduce air trapping

Answer

Reflex response to severe breathlessness.

Answer

Regulates filling of lungs that have increased compliance

Answer

Chest discomfort during inspiration

Question 20

Long-term exposure to which of the following can increase the risk for COPD?

Accepted Answer

all of the above

Answer

Pollutants

Answer

Lung irritants

Answer

Airborne chemicals

Related quizzes

Related quizzes