MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A COPD patient was once hospitalized for an acute attack within a year, and usually suffers from shortness of breath when walking fast on flat ground, FEV1/FVC = 0.65, FEV1 = 61%. According to the GOLD guidelines, what kind of control drug should be given at the beginning?
A
Long-acting
B
Long-acting cholinergic receptor blockers (LAMAs)
C
LABA + LAMA
D
LABA + LAMA + Inhaled Steroids (ICS)
Explanation: 

Detailed explanation-1: -Measurement of RR on COPD Patients: Difficulties and Approaches. The RR value is one of the most important indicators of several chronic diseases including COPD [50]. RR over 25 bpm is considered as one of the COPD exacerbation signs while the normal range of RR in adults is about 12–20 bpm [40].

Detailed explanation-2: -This is a measure of how quickly the lungs can be emptied. • FEV1/FVC: FEV1 expressed as a percentage of the FVC, gives a clinically. useful index of airflow limitation. The ratio FEV1/FVC is between 70% and 80% in normal adults; a value less than 70% indicates airflow limitation and the possibility of COPD.

Detailed explanation-3: -ICD-10 code J44. 1 for Chronic obstructive pulmonary disease with (acute) exacerbation is a medical classification as listed by WHO under the range-Diseases of the respiratory system .

Detailed explanation-4: -Arterial blood gas measurement is also important for longterm oxygen therapy management [2, 3]. COPD is the main disease for which this treatment is indicated. According to the American Thoracic Society Guidelines [4], it is indicated for patients: PaO2 = 7.3 kPa (55 mm Hg) or oxygen saturation (SaO2) = 88%; or.

There is 1 question to complete.