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Assessing the Chronic Obstructive Pulmonary Disease (COPD) Patient: More Than Spirometry

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1.  Which of the following can be an "under-diagnosed" comorbidity associated with COPD?
  1. Depression/Anxiety
  2. Allergic rhinitis
  3. Eosinophilic gastrointestinal disease
  4. Tracheomalacia
2.  During a physical exam, if clubbing is evidenced with a COPD patient, the practitioner may suspect:
  1. Anemia
  2. Pathology for lung cancer
  3. Malnutrition
  4. Atrial fibrillation
3.  According to the American Thoracic Society/European Respiratory Society (ATS-ERS), bronchodilator response (BDR) is defined by:
  1. An increase in FEV1 and/or FVC greater than or equal to 12% and 200 ml after bronchodilator administration
  2. A decrease in FEV1 and/or FVC greater than 20% and 500 ml before bronchodilator administration
  3. An increase in FEV1 and/or FVC less than or equal to 10% and 100 ml after bronchodilator administration
  4. A decrease in FEV1 and/or FVC less than 40% and 300 ml before bronchodilator administration
4.  The BODE Index can be used in pulmonary rehabilitation and evaluates several factors, including:
  1. Bacterial infections
  2. Exercise capacity (6MWD)
  3. Brain natriuretic peptide (BNP)
  4. Pulmonary vascular supply
5.  Chest X-rays (CXR) can help to exclude other causes of dyspnea, which may include:
  1. Pneumonia
  2. Congestive heart failure
  3. Malignancy
  4. All of the above

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