MRCP UK EXAMINATIONS

RESPIRATORY

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
For patients with chronic obstructive pulmonary disease, after undergoing surgery, the description of pulmonary complications occurred, which of the following is wrong?
A
more likely than non-COPD patients
B
Patients with stable asthma have a higher incidence of postoperative pulmonary complications than patients with COPD
C
Before surgery, it is best to control no wheeze and no active infection
D
If the preoperative forced expiratory volume in the first second (FEV1) is less than 800 mL, pulmonary resection is not recommended
Explanation: 

Detailed explanation-1: -Traditional definitions of postoperative pulmonary complications include atelectasis, bronchospasm, pneumonia, and exacerbation of chronic lung disease.

Detailed explanation-2: -Postoperative respiratory complications (PRCs) are common, with incidence estimates of 3–7.9% in general surgery [1, 2] and higher rates reported in lung surgery. The most important PRCs are reintubation, acute respiratory failure, pulmonary edema, pneumonia, and atelectasis.

Detailed explanation-3: -Postoperative pulmonary complications (PPCs) and their management are clinically important in patients with asthma and chronic obstructive pulmonary disease (COPD). PPCs include bronchospasm, atelectasis, pulmonary infection, respiratory failure and exacerbation of chronic pulmonary disease [1].

Detailed explanation-4: -Respiratory infections. People with COPD are more likely to catch colds, the flu and pneumonia. Heart problems. Lung cancer. High blood pressure in lung arteries. Depression. 15-Apr-2020

There is 1 question to complete.