MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 66-year-old man presents with progressive dyspnoea due to COPD. He is currently able to perform daily activities but has difficulty walking if the distance is longer than 1 block. Examination revealed that he had shortness of breath on exhalation, wheezing and resonant percussion. He is being treated appropriately for his COPD condition. Which of the following is also indicated in the management of this condition?
A
Meningococcal vaccine
B
Annual flu shot
C
Haemophilus influenza B vaccine
D
Annual pneumococcal vaccination
Explanation: 

Detailed explanation-1: -Dyspnea is a cardinal symptom of chronic obstructive pulmonary disease (COPD), and its severity and magnitude increases as the disease progresses, leading to significant disability and a negative effect on quality of life. Refractory dyspnea is a common and difficult symptom to treat in patients with advanced COPD.

Detailed explanation-2: -For most people with COPD, short-acting bronchodilator inhalers are the first treatment used. Bronchodilators are medicines that make breathing easier by relaxing and widening your airways. There are 2 types of short-acting bronchodilator inhaler: beta-2 agonist inhalers – such as salbutamol and terbutaline.

Detailed explanation-3: -Short-acting beta-2 agonists (e.g., albuterol, levalbuterol) and short-acting muscarinic antagonists (e.g., ipratropium) improve lung function and breathlessness and quality of life.

Detailed explanation-4: -Control your breathing. Talk to your doctor or respiratory therapist about techniques for breathing more efficiently throughout the day. Clear your airways. Exercise regularly. Eat healthy foods. Avoid smoke and air pollution. See your doctor regularly. 15-Apr-2020

There is 1 question to complete.