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Chronic Obstructive Pulmonary Disease - OT - 3 Hour

INSTRUCTIONS
You will need to answer 11 questions correctly to pass the test.
(1) Most of the major pathophysiologic changes associated with advanced COPD are attributed to systemic inflammation. (p. 3)
(A) True
(B) False
(2) Which of the following is the most significant risk factor for COPD? (p. 4)
(A) Cigarette smoking
(B) Occupational exposure to air pollutants
(C) Low birth weight
(D) Vitamin C deficiency
(3) Morbidity and morality rates have been shown to be inversely related to socioeconomic status. (p. 5)
(A) True
(B) False
(4) Most patients initially present with COPD in the ____ decade of life when they have _____. (p. 7)
(A) fourth; a chronic non-productive cough
(B) fifth or sixth; dyspnea with mild exertion
(C) third of fourth; wheezing and viscous sputum
(D) fifth; pleural pain and generalized muscle wasting
(5) A spirometer measures _____. (P. 8)
(A) Inspiratory volume
(B) How quickly and efficiently the lungs can be emptied
(C) Maximum lung residual volume
(D) Oxygen saturation of pulmonary tissue
(6) Chest radiography and CT scans are required to make a diagnosis of COPD. (p. 9)
(A) True
(B) False
(7) Which of the following is a self-administered dyspnea questionnaire that measures physical, mental, and social function? (p. 11-12)
(A) Baseline Dyspnea Index
(B) The Oxygen Cost Diagram
(C) The Borg Scale
(D) The Pulmonary Functional Status Scale
(8) A person has an FEV1/FVC of 68% and an FEV1 of 42%. Their status would be classified as _____. (p. 13-14)
(A) GOLD Stage II
(B) GOLD Stage III
(C) BODE Index Score 4
(D) BODE Index Score 7
(9) Which of the following statements is TRUE? (p. 14-16)
(A) BETA 2-agonists and anti-cholinergics are injectable corticosteroids.
(B) Inhaled glucocorticoids cause bronchodilation.
(C) Long-term oxygen therapy reduces pulmonary hypertension.
(D) Systemic steroids are the single most effective therapy for the majority of COPD patients.
(10) Which type of exercise would be most appropriate for an individual with severe dyspnea? (p. 19-22)
(A) Continuous aerobic
(B) Interval aerobic
(C) Continuous anaerobic
(D) Interval anaerobic
(11) An individual has an anterior/lateral chest diameter ratio of less than 1. This is commonly referred to as a _____. (p. 24)
(A) Barrel chest
(B) Bucket deformity
(C) Flail chest
(D) Coastal collapse
(12) Weight loss with disproportional fat-free mass wasting is known as _____, and occurs in about _____ of patients with COPD. (p. 28)
(A) calciphylaxis; one-half
(B) pertussis; 22%
(C) myorexia; 33%
(D) cachexia; one third
(13) Which of the following statements is FALSE? (p. 28-31)
(A) Bullae are small fluid filled spaces in the lung less than 1 cm in diameter.
(B) COPD predisposes the lungs to pneumonia.
(C) The St. George's Respiratory Questionnaire is used to assess quality of life.
(D) Individuals with COPD experience a higher rate of psychiatric disorders than the general population.
(14) COPD related hypoxia may result in cognitive and personality changes. (p. 33)
(A) True
(B) False
(15) The need for mechanical ventilation and long-term oxygen therapy are always reliable predictors of the terminal phase of COPD. (p. 36)
(A) True
(B) False
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