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MKSAP Pulmonary Medicine Questions And Answers 100% Correct Review 202

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MKSAP Pulmonary Medicine Questions And Answers 100% Correct Review 2023 When should one consider COPD? - ANS-chronic cough dyspnea sputum production Hx risk factors: smoking, alpha-1antitrypsin ... def., and workplace exposure to gasses and fumes How is COPD dx'd? - ANS-spirometry after appropriate tx w/bronchodilator (salbutamol) How does one dx COPD by spirometry and assess the severity of COPD? - ANS-Postbronchodilator FEV1/FVC for dx Postbronchodilator FEV1 for severity What values of FEV1/FVC and FEV1 dx COPD? - ANS-FEV1 < 80% of predicted FEV1/FVC < .70 These values confirm presence of irreversible airway limitation Exclude dx of Asthma What is Dlco? - ANS-ability of lungs to transfer gas from alveoli to RBCs in pulmonary capillaries When is Dlco low? - ANS-barriers to diffusion: interstitial edema, interstitial infiltrates, tissue fibrosis, or loss of lung tissue (emphysema) What are the findings of CHF? CONTINUES... [Show More]

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