COPD/Asthma

What is the Most Common physical exam finding on a Patient with COPD Exacerbation?

• Wheezing

• Dyspnea

• Hemoptysis

• Respiratory Acidosis

What is the best tool in acute evaluation for assessing oxygenation, ventilation, and acid-base disturbance in COPD exacerbation?

• VBG

• V/Q Scan

• ABG

• FEV1

What GI condition is most common risk factor to play a role in COPD exacerbation?

• GERD

• Mallor-Weiss

• PUD

• Diverticula

True or false?

The use of corticosteroids in the ED for acute COPD exacerbation decreases the rate of return visits?

• True

• False

What are the 3 most common bacterial agents involved in acute COPD exacerbation?

• E. coli

  S. streptococcus

  S. epidermidis

• S. pneumoniae

  H.influenzae

  M.catarrhalis

• C. difficile

  S. pneumoniae

  S. aureus

• S. aureus

  P. aeruginosa

  B. cereus

Asthma is a "what" inflammatory disorder?

• Chronic

• Short term

• Pediatric

• Geriatric

True or False

Wheezing can be an unreliable indicator of airflow obstruction in acute asthma?

• True

• False

True or False

ABG should should be obtained with mild to moderate asthma?

• True

• False

What is the dose of IV Magnesium you want to give in status asthmaticus?

• 4-6 grams over 30mins

• 100mg bolus

• 1-2 grams over 30mins

• 2-3 grams over mins

What enzyme deficiency can lead to COPD, and what percentage accounts for COPD?

• Alpha-antitrypsin Deficiency

  2%

• Alpha-antitrypsin Deficeincy

  <1%

• Myophosphorylase deficiency

  <1%

• Glycogen Synthase deficiency

  5%