Assalamualaikum wbt..

Every year we definitely will come across this topic especially in our internal medicine class. So, today, let’s test our knowledge for this topic: COPD

1.       How to write the diagnosis of COPD?
A.      COPD, chronic obstructive bronchitis/emphysema, exacerbation/remission, severity, risk, complicated by..
B.      COPD, severity, risk, respiratory failure..
C.      COPD, exacerbation/remission, risk, complicated by…

2.       Below are the key indicator for the diagnosis of COPD except
A.      Dyspnoe that is progressive, worsening with exercise, persistent
B.      Chronic cough: intermittent, maybe unproductive
C.      Chronic sputum production
D.      History of exposure to risk factors: tobacco smoke, smoke from fuel, occupational dust
E.       Family history of COPD
F.       Emphysema

3.       How the severity of COPD is accessed in patient confirmed with FEV1/FVC < 0.7 ? 
A.      Spirometry
B.      Spirometry based on post-bronchodilator FEV1
C.      X-ray
D.      Bronchoscopy
E.       Sputum investigation

4.       For moderate severity is characterized as:
A.      FEV1 >80% predicted
B.      FEV1 <30% predicted
C.      FEV1 <50%
D.      FEV1 between 50-80%

5.       Patient are high risk if :
A.      Has no hospitalization for exacerbation per year
B.      Has 2 or more exacerbation per year or 2 or more hospitalization per year with severe and very severe severity
C.      Moderate and severe severity
D.      Mild/ moderate severity with 1 exacerbation per year

6.       Below are the B2-agonist short acting except
A.      Salbutamol (salamol 100mkg)
B.      Fenoterol (berotec 0.1%)
C.      Salmeterol (serevent 25mkg)

7.       Below are the anticholinergic drugs except
A.      Atrovent
B.      Spiriva
C.      Pulmicort

ANSWERS: A, F, B, D, B, C, C


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