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COPD: Overview and survey of NP knowledge

doi: 10.1097/01.NPR.0000431121.07871.dc
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INSTRUCTIONS COPD: Overview and survey of NP knowledge


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COPD: Overview and survey of NP knowledgeCOPD: Overview and survey of NP knowledge

General Purpose: The purpose of this learning activity is to provide information about physical presentation and management of COPD, and how NP knowledge relates to those. Learning Objectives: After reading this article and taking this test, the reader will be able to: 1. Describe the pathophysiology, clinical presentation, and diagnosis of COPD. 2. Discuss the findings of the survey described in the article. 3. Identify the NP's use of therapies for COPD.

  1. What percentage of patients with COPD remains undiagnosed?
    1. 50%
    2. 60%
    3. 65%
    4. 75%
  2. Which diagnostic test is the best for confirming COPD?
    1. arterial blood gas
    2. postbronchodilator spirometry
    3. pulse oximetry
    4. chest radiograph
  3. COPD often causes loss of all of the following except
    1. bone mass.
    2. body fat.
    3. inflammatory response.
    4. muscle.
  4. Which of the following statements comparing COPD in men and women is true?
    1. Women are more likely to be diagnosed with COPD than men.
    2. Men with COPD experience more dyspnea than women.
    3. Women with COPD have a higher mortality than men.
    4. Men with COPD have higher rates of cardiovascular disease than women.
  5. Atopy is usually linked to
    1. asthma.
    2. chronic bronchitis.
    3. emphysema.
    4. COPD from any cause.
  6. Research indicates that which provider is least likely to perform spirometry?
    1. pulmonologist
    2. family practice provider
    3. internal medicine provider
    4. pediatrician
  7. Which of the following is key when interpreting spirometry?
    1. vital capacity
    2. forced expiratory flow
    3. peak expiratory flow rate
    4. forced expired volume
  8. The mainstay of COPD management is inhaled
    1. corticosteroids.
    2. methylxanthines.
    3. beta2-agonists.
    4. mucolytics.
  9. Which of the following improves lung function and decreases platelet function?
    1. ginsing
    2. theophylline
    3. MK-0633
    4. thymus vulgaris
  10. Which of the following major COPD symptoms did NPs identify 97% of the time?
    1. sputum production
    2. chronic cough
    3. nocturnal awakening
    4. chest tightness
  11. What percentage of NPs correctly identified the primary diagnostic tool for COPD?
    1. less than 40%
    2. 45%
    3. 55%
    4. more than 60%
  12. Most NPs use which treatment for primary management of COPD?
    1. inhaled medications
    2. oral medications
    3. oxygen
    4. smoking cessation and pulmonary rehabilitation
  13. Which of the following is correct about NP certification and COPD symptom identification?
    1. NPs with population-specific certification identified the most symptoms.
    2. NPs with adult certification identified the least symptoms.
    3. NPs with family certification were usually unable to identify major symptoms.
    4. NPs from all certifications identified about the same amount of symptoms.
  14. Which NPs identified inhaled pharmacotherapy as a primary treatment significantly more than other NPs?
    1. population-specific and family
    2. family and adult
    3. population-specific and adult
    4. population-specific
  15. An identified limitation of the study presented is the responders'
    1. inability to add supplemental information.
    2. lack of awareness of the purpose of the investigation.
    3. poor return rate.
    4. having to spend large amount of time on survey.
  16. Use of spirometry as an early diagnostic tool is particularly important for which population that suffers from more aggressive disease?
    1. men over age 70
    2. pediatric patients
    3. middle-age men
    4. women
  17. Which of the following findings is characteristic of COPD?
    1. hyperresonance
    2. increased body fat
    3. increased tactile fremitus
    4. pleural friction rub
  18. Which of the following women is most likely to develop COPD?
    1. SS, who has been a sculptor for 10 years.
    2. JB, who is 10 years old, has been living on a tobacco farm.
    3. MD, who has been working in Los Angeles for the last 10 years.
    4. KR, who lived with a smoker from birth to 10 years.


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