RESPIRATORY
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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According to the 2017 GOLD treatment guidelines, the patient belongs to GOLD 2 Group D
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May encourage patients to do pulmonary exercise rehabilitation
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Incentive spirometry can be used for lung rehabilitation
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Can help cough up sputum through flutter and posture drainage
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Detailed explanation-1: -Conclusion: Adjustments of the GOLD criteria for diagnosing COPD are needed, and FEV(1)/FVC ratios down to 65% should be regarded as normal when aged 70 years and older.
Detailed explanation-2: -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. FEV1 is influenced by the age, sex, height, and ethnicity, and is best considered as a percentage of the predicted normal value.
Detailed explanation-3: -COPD is commonly diagnosed with spirometry, where a post-bronchodilator FEV1/FVC < 0.70 confirms the presence of the disease.
Detailed explanation-4: -FEV1 = Race x 1.08 x [(0.0395 x Height)-(0.025 x Age)-2.6] FVC = Race x 1.15 x [(0.0443 x Height)-(0.026 x Age)-2.89] FEV1/FVC Ratio = FEV1 / FEVC. 15-Jun-2020