Exacerbation of Chronic Obstructive Pulmonary Disease

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Question 1 of 10

1. Question
According to the guidelines published by the National Institute of Clinical Excellence, patients who are classified as having ‘very severe’ COPD will have a post-bronchodilator % of predicted FEV1 of:
- 100%
- > 80%
- 50-79%
- 30-49%
- < 30%
Correct

Incorrect
Question 2 of 10

2. Question
Which of the following factors would be an indication to treat a patient with an exacerbation of COPD in hospital rather than at home?
- Oxygen saturations < 90%
- Arterial pH < 7.35
- The patient is already on long term oxygen therapy
- There is consolidation on the CXR
- All options listed
Correct

Incorrect
Question 3 of 10

3. Question
All patients attending the emergency department with an exacerbation of COPD should receive which of the following investigations?
- Pulse oximetry
- CT chest
- Spirometry
- Theophylline levels
- All options listed
Correct

Incorrect
Question 4 of 10

4. Question
Which of the following statements regarding the treatment of COPD exacerbations is not correct?
- If the patient is hypercapneic or acidotic, nebulisers should be driven by air and not oxygen
- Patients should receive 30 mg of oral prednisolone
- A course of steroids given for a duration of more than 14 days is beneficial for most patients
- Antibiotics should only be given if there is a history of increased purulent sputum, clinical signs of pneumonia or evidence of consolidation on the CXR.
- Aminophylline is a second line treatment and should only be considered if there is an inadequate response to nebulised bronchodilators
Correct

Incorrect
Question 5 of 10

5. Question
Which of the following combinations may be considered maximal initial medical treatment of COPD?
- Oxygen to target saturations of 94-98%, 5 mg nebulised salbutamol, 500 mcg nebulised ipatropium bromide and antibiotics
- Oxygen to target saturations of 88-92%, 5 mg nebulised salbutamol, 500 mcg nebulised ipatropium bromide and antibiotics
- Oxygen to target saturations of 94-98%, 5 mg nebulised salbutamol, 500 mcg nebulised ipatropium bromide, 30 mg prednisolone and antibiotics only if indicated
- Oxygen to target saturations of 88-92%, 5 mg nebulised salbutamol, 500 mcg nebulised ipatropium bromide, 30 mg prednisolone and antibiotics
- Oxygen to target saturations of 88-92%, 5 mg nebulised salbutamol, 500 mcg nebulised ipatropium bromide, 30 mg prednisolone and antibiotics only if indicated
Correct

Incorrect
Question 6 of 10

6. Question
Which of the following is not a contraindication to non-invasive ventilation (NIV)?
- Vomiting
- Glasgow coma score of < 8
- Recent hemicolectomy
- Facial burns
- Copious respiratory secretions
Correct

Incorrect
Question 7 of 10

7. Question
Which of the following may predict higher risk of mortality in patients presenting with an exacerbation of COPD?
- Increasing age
- Use of long term oxygen therapy
- The number of previous hospital admissions
- Low arterial pH on admission
- All options listed
Correct

Incorrect
Question 8 of 10

8. Question
Approximately how many people in the United Kingdom are thought to have COPD?
- 10 000
- 30 000
- 1 000 000
- 3 000 000
- 30 000 000
Correct

Incorrect
Question 9 of 10

9. Question
COPD is a respiratory disease characterised by:
- Airflow obstruction with full reversibility
- Airflow obstruction that is not fully reversible
- Airflow resriction that is not fully reversible
- Airflow resriction with full reversibility
- None of the above
Correct

Incorrect
Question 10 of 10

10. Question
Which of the following symptoms may indicate a diagnosis of COPD?
- Exertional breathlessness
- Sputum production
- Wheeze
- Frequent winter bronchitis
- All options listed
Correct

Incorrect

4 Comments

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Dr Syed Shahbaz Ahmer July 20, 2023 at 4:38 pm

Great review

Dr. Elrayah Dafalla Abdelrahim Ahmed January 22, 2024 at 2:34 am

excellent

Dr. Elrayah Dafalla Abdelrahim Ahmed January 22, 2024 at 2:41 am

excellent and comprehensive

Dr Elsheimaa Mohamedsalih Osman Mohamedsalih September 29, 2024 at 4:05 pm

Exacerbation of Chronic Obstructive Pulmonary Disease – Post Test

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