Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Pulmonology - ABIM

COPD

QuestionAnswer
Definition of COPD FEV1/FVC <70%
How do you monitor COPD? Annual spirometry, do not need full lung volumes with PFTs
What vaccinations should you give for COPD? Annual flu, pneumococcal 23 once < 65, once > 65
Name the categories of COPD with the corresponding FEV1 >80% – mild GOLD 1, 50 to 80% – moderate GOLD 2, 30 to 50% - severe GOLD 3, < 30% very severe GOLD 4
What is the treatment for COPD if FEV1 > 80%? albuterol and ipratropium
What is the treatment for COPD if FEV1 50 to 80%? Albuterol and tiotropium
When should you start and inhaled steroid for patients with COPD? When FEV1 is between 30 and 50%
When should you start a phosphodiesterase inhibitor in a COPD patient? Start roflumilast FEV1 is between 30 and 50% and you want to decrease hospitalizations.
When should patients go to pulmonary rehab? When FEV1 is between 30 and 50%
When should patients start oxygen? FEV1 <30%
What are the indications for starting oxygen in a COPD patient? 1. Oxygen saturation less than 88%, 2. Hematocrit >55, 3. Arterial oxygen less than 55 on ABG, 4. Arterial oxygen less than 60 if patient has cor pulmonale
What should you do if patient has an oxygen saturation of 92 or below on room air? Do an ABG
When should you consider a lung volume reduction surgery for your patient? 1. The patient has upper lobe emphysema, 2. The patient has decreased exercise capacity. The work up for it includes a chest CT and full PFTs.
When should lung transplant be considered in a patient with COPD? When FEV1 <20% or DLCO <20%, PCO2 >50 with pulmonary hypertension or cor pumonale despite oxygen treatment
What are the absolute contraindications to lung transplant? 1. Cancer in the last two years, 2. Recent smoking, 3. Drugs or alcohol, 4. no social support, 5. hepatitis B or C with liver damage, 6. Severe psychiatric illness, 7. Medication noncompliance.
What are the relative contraindications to lung transplant? 1. Age greater than 65, 2. Multiple comorbidities
How can you tell a patient is having a COPD exacerbation? Increased sputum in volume, change in color of sputum, increased shortness of breath
How should you treat COPD exacerbation? Albuterol plus ipratropium plus oral prednisone (40×5 days), Antibiotics for 5 to 10 days
Created by: christinapham
Popular USMLE sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards