MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
FEV1 index after bronchodilator test of 1 COPD patient is 60% of the predicted value, the level of obstruction of GOLD patient?
A
GOLD 1
B
GOLD 2
C
GOLD 3
D
GOLD 4
Explanation: 

Detailed explanation-1: -The normal value for the FEV1/FVC ratio is 70% (and 65% in persons older than age 65). When compared to the reference value, a lower measured value corresponds to a more severe lung abnormality.

Detailed explanation-2: -Other criteria to consider the bronchodilator response as positive are a post-bronchodilator FEV1 percentage increase greater than 15% of baseline, an increase in post-bronchodilator FEV1 greater than 10% of the predicted value (10) or an absolute 400 ml increase in FEV1 (6).

Detailed explanation-3: -The higher your percentage, the larger your lung capacity and the healthier your lungs. Your doctor will likely diagnose COPD if your FEV1/FVC ratio falls below 70% of the predicted value. You are likely to get a diagnosis of asthma if your ratio falls below 80% of the predicted value.

Detailed explanation-4: -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.

There is 1 question to complete.