QUESTION 1

QUESTION 1
According to the GOLD Pocket Guide to COPD Diagnosis, Management, and Prevention, A Guide for           Health Care Professionals, 2017, what would the predicted FEV be for GOLD 4 very severe COPD?
QUESTION 2
There are known risk factors for coronary artery disease (CAD). Name the two most important risk factors that cannot be remedied (modified).
QUESTION 3
Your 69-year-old patient who has daily asthma symptoms with nighttime awakenings weekly but not nightly, and an FEV >60 but <80 would have the diagnosis of what type of asthma?
QUESTION 4
Clara is an 89-year-old African American female who comes to see you in the clinic today. She describes a new complaint of “heartburn” after doing housework. You are concerned these new symptoms might be cardiovascular in etiology and would continue your review of symptoms with her by asking which questions (list at least three ROS questions)?
QUESTION 5
When performing an assessment on patients over 65 years of age, what are at least three (3) key symptoms that may indicate cardiovascular disease?
QUESTION 6
A 78-year-old patient, past one ppd smoker times 10 years (quit 10 years ago) presents with increasing shortness of breath, dyspnea on exertion, and no other symptoms. Name two diagnostic tests you could order to differentiate between asthma and COPD.
QUESTION 7
Mrs. L is a 71-year-old Hispanic female with a PMH of seasonal allergies and her only medication is aspirin 81 mg; she presents to the clinic with the following symptoms: Recurrent wheezing, cough (especially occurring at night), recurrent chest tightness, and dyspnea on exertion. She also complains of a chronic rhinorrhea with postnasal drip. Please list four (4) differential diagnoses for these symptoms.
QUESTION 8
Clara is an 89-year-old African American female who comes to see you in the clinic today. She describes a new complaint of “heartburn” after doing housework. You are concerned about these new symptoms. What information would you seek in your review of symptoms (list at least three)?

QUESTION 9
What diagnostic and laboratory tests would you order in an older patient with COPD? List at least three with rationales.
QUESTION 10
Your 69-year-old African American female patient has a PMH of asthma. You know that In the United States, asthma is more prevalent in African Americans. List at least three (3) factors that contribute to development of asthma.