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Living and Breathing with COPD: The OT Role

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1.  All of the following are pathophysiological features of COPD EXCEPT? Airflow limitation and gas trapping Gas exchange abnormalities Mucus hyposecretion Pulmonary hypertension

2.  What persistent respiratory symptoms are observed in individuals with COPD? Cough, dyspnea, and sputum production Dyspnea and cyanosis Fatigue and sputum production Cough and fatigue

3.  Why must clinicians must be cautious in providing supplemental oxygen to patients with COPD that are used to having a high concentration of CO2 in their system? Because in these cluster of COPD patients, an increase in blood O2 suppresses the drive to breathe Because in these cluster of COPD patients, an increase in blood CO2 suppresses the drive to breathe Because in these cluster of COPD patients, a decrease in blood O2 suppresses the drive to breathe Because in these cluster of COPD patients, a decrease in blood CO2 suppresses the drive to breathe

4.  What are the different barriers of individuals with COPD in occupation reengagement? Dyspnea Anxiety Fatigue All of the above

5.  Which of the following objective measures assess an individual’s functional performance? Spirometry Glittre ADL Test Grocery Shelving Test Canadian Occupational Performance Measure

6.  What does pursed lip breathing do for an individual with COPD? Increase respiratory rate and increase airway collapse during expiration Increase respiratory rate and decrease airway collapse during expiration Slow respiratory rate and increase airway collapse during expiration Slow respiratory rate and decrease airway collapse during expiration

7.  What cognitive functions are commonly impaired in COPD patients with mild cognitive impairment? Visual memory Attention and executive function Processing speed and concentration Verbal fluency and deductive thinking

8.  The following are reasons why practitioners must assess face to face how the patients use their inhalers EXCEPT: A large portion of COPD patients perform at least one essential step incorrectly. Incorrect inhaler use leads to an increased quality of life. There is a significant increase in improvement with inhaler after face to face demonstration and training. Improper inhaler use leads to poor control of COPD and hospitalization.

9.  Which symptoms should individuals with COPD monitor daily? Breathing Coughing Sleep and activity level All of the above

10.  All of the following are signs of exacerbation EXCEPT: Low grade fever that does not go away Increase in rescue medication use Good O2 saturations New or increased ankle swelling