MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
According to the new version of the COPD guidelines (GOLD guideline) in 2017, which of the following is mainly distinguished as group ABCD?
A
Mainly determined by the severity of airflow restriction and FEV1
B
Patients are grouped by their current dose of medication
C
Add the comprehensive patient’s symptoms and attack frequency to determine
D
Patients are grouped by their current dose of medication
Explanation: 

Detailed explanation-1: -An important revision concerns the “ABCD” classification for the management of patients with COPD, which classifies patients into groups A (low risk, fewer symptoms), B (low risk, more symptoms), C (high risk, fewer symptoms), and D (high risk, more symptoms) (10).

Detailed explanation-2: -What Are the Stages of COPD? Stage I (Early) Stage II (Moderate) Stage III (Severe) Stage IV (Very Severe) 29-Jul-2021

Detailed explanation-3: -COPD should be considered in any patient with dyspnea, chronic cough or sputum production, and/or a history of exposure to risk factors. Spirometry is required to make the diagnosis; a postbronchodilator FEV 1/FVC ratio of less than 0.70 confirms the presence of persistent airflow limitation. More items •03-Jun-2022

Detailed explanation-4: -Emphysema. Develops over time and involves the gradual damage of lung tissue, specifically the destruction of tiny air sacs called alveoli. Chronic bronchitis. Refractory (non-reversible) asthma. Some forms of bronchiectasis. 01-Feb-2022

There is 1 question to complete.