Quiz #85 COPD, diagnosis, treatment, and nihilism
Test your knowledge on COPD
Mr. T is a 64 year-old man with coronary artery disease, benign prostatic hyperplasia and urinary incontinence, who presents to the Pulmonary clinic at Kashlak with shortness of breath. He has had a cough with mucus production for the last several years that occasionally worsens when he has a cold. He is currently smoking, but is cutting back, admitting to an 80 pack-year history. He has been hospitalized for “asthma” 3 times in the last year, and treated with antibiotics. He is able to walk two blocks before becoming short of breath. His resting O2 saturation is 93%. He has an albuterol inhaler that he uses once a day. Of the following, what is the most appropriate diagnostic adjunct to obtain after completing a thorough history and physical exam? *
33 points
Mr. T is sent for spirometry. His flow-volume loop is shown below in blue. Therapy with a short acting bronchodilator is administered and the resultant flow-volume loop is unchanged from what is demonstrated below. Additionally, it is calculated that his FEV1 is 38% of predicted. What is the most appropriate way to interpret these findings, in the context of the patient’s history?
33 points
Flow volume loop
You have diagnosed Mr. T with COPD based upon his history, exam and using spirometry as a tool. Now it’s time for treating him! Which of the following options represents the best approach to initial therapy in this COPD patient (GOLD Class 3)?
34 points
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