COPD

Question 1

What is a diagnostic FEV1/FVC for COPD?

Answer 1

<0.7

Question 2

GOLD 1 has an FEV1 of?

Answer 2

80%/+

Question 3

GOLD 2 has an FEV1 of?

Answer 3

50-79%

Question 4

GOLD 3 has an FEVI of?

Answer 4

30-49%

Question 5

GOLD 4 has an FEV1 of?

Answer 5

<30%

Question 6

A patient with 0-1 moderate exacerbations and a CAT score < 10 or mMRC 0-1 should receive which treatment?

Answer 6

Category A: SAMA prn, SABA prn, LAMA or LABA

Question 7

A patient with 0-1 moderate exacerbations and a CAT score 10/+ or mMRC 2/+ should receive which treatment?

Answer 7

Group B: LAMA + LABA

Question 8

A patient with 2/+ moderate exacerbations of 1/+ leading to hospital admission should receive which treatment?

Answer 8

Group E: LAMA + LABA + maybe an ICS

Question 9

When should an ICS be added on for patients in Group E?

Answer 9

When eosinophils are 300/+

Question 10

Patients with a LAMA or LABA need a rescue inhaler that contains?

Answer 10

a SAMA or SABA

Question 11

If a patient has sputum in their cough, or is on a mechanical ventilator, what should be added on to their treatment?

Answer 11

antibiotics

Question 12

What class is Ipratropium Bromide (Atrovent HFA)?

Answer 12

SAMA

Question 13

What is the dosing of Ipratropium Bromide (Atrovent HFA)?

Answer 13

2 inhalations q4-6hrs prn

Question 14

Tiotropium, Aclidinium (Tudorza Pressair), Glycopyrrolate, Revefenacin (Yupelri), and Umeclidinium (Incruse Ellipta) are what drug class?

Answer 14

LAMA

Question 15

What is the dosing for a Spiriva Handihaler?

Answer 15

Inhale 1 capsule daily (2 puffs)

Question 16

Should a Spiriva Handihaler capsule be swallowed?

Answer 16

No

Question 17

What is the dosing for Spiriva Respimat?

Answer 17

2 inhalations daily

Question 18

Aclidinium (Tudorza Pressair) has a window that turns which colors if inhaled correctly?

Answer 18

Green to red

Question 19

What is the dosing for Aclidinium (Tudorza Pressair)

Answer 19

1 inhalation BID

Question 20

What is the dosing for Umeclidinium (Incruse Ellipta)?

Answer 20

1 inhalation daily

Question 21

Salmeterol (Serevent Diskus), Formoterol (Performist), Aformoterol (Brovana), Olodaterol (Striverdi Respimat), and Vilanterol are all what class of medications?

Answer 21

LABA

Question 22

What is the dosing of Salmeterol (Serevent Diskus)?

Answer 22

1 inhalation BID

Question 23

What is the dosing of Formoterol (Performist)?

Answer 23

2 inhalations daily

Question 24

What is the dosing of Vilanterol?

Answer 24

1 inhalation daily

Question 25

What do LABA medications do to potassium?

Answer 25

Decrease

Question 26

What do LABA medications do to heart rate?

Answer 26

increase

Question 27

Roflumilast inhibits?

Answer 27

PDE-4

Question 28

Which 2 enzymes is roflumilast a substrate of?

Answer 28

CYP3A4 and CYP1A2

Question 29

Should Ipratropium Bromide (Atrovent HFA) be shaken?

Answer 29

NO

Question 30

How often should the mouthpiece for Ipratropium bromide be cleaned?

Answer 30

weekly, rinse under water for 30 seconds

Question 31

How often should respimat products be cleaned?

Answer 31

weekly with a damp cloth or tissue

Question 32

What do you press to open Tiotropium Bromide (Spiriva Handihaler)?

Answer 32

Green button

Question 33

How many times should a patient inhale for Tiotropium Bromide (Spiriva Handihaler)?

Answer 33

twice

Question 34

Where should fingers not be placed on Ellipta products?

Answer 34

blocking the air vent

Question 35

What are 2 examples of ICS/LAMA/LABA combinations?

Answer 35

1. Budesonide/Glycopyrrolate/Formoterol (Breztri Aerosphere) 2. Fluticasone, Umeclidinium, Vilanterol (Trelegy Ellipta)

Question 36

What is an example of a SABA/SAMA combination?

Answer 36

Ipratropium/Albuterol (Combivent)

Question 37

What are 4 examples of a LABA/LAMA combination?

Answer 37

1. Tiotropium/Olodaterol (Stiolto) 2. Aclidinium/Formoterol (Duaklir Pressair) 3. Glycopyrrolate/Formoterol (Bevespi Aerosphere) 4. Umeclidinium/Vilanterol (Anoro Ellipta)

Question 38

What are the 5 vaccines recommended for those with COPD?

Answer 38

1. Flu 2. Pneumococcal (PCV21 or PCV20) 3. RSV if 60 or older 4. Shingles if 50 or older 5. Tdap if not received in the past 10 years

Question 39

True or False: LABAs can cause tremors

Answer 39

True