CPC Chronic Disease Management 2

Question 1

A patient with COPD has a FEV1/FVC ratio of 0.62 and a post-bronchodilator FEV1 of 55% predicted. According to GOLD classification, this patient is classified as:

Accepted Answer

GOLD 2 — Moderate

Answer

GOLD 1 — Mild

Answer

GOLD 3 — Severe

Answer

GOLD 4 — Very Severe

Question 2

A community paramedic reviews a patient's inhaler technique during a home visit for COPD management. Which finding indicates INCORRECT metered-dose inhaler (MDI) technique?

Accepted Answer

Patient inhales quickly and forcefully rather than slowly and deeply

Answer

Patient shakes the inhaler before use

Answer

Patient holds breath for 10 seconds after inhalation

Answer

Patient waits 1 minute between puffs

Question 3

Which target HbA1c is recommended by the American Diabetes Association for most non-pregnant adults with type 2 diabetes?

Accepted Answer

<7.0%

Answer

<6.0%

Answer

<8.0%

Answer

<9.0%

Question 4

Which assessment finding in a heart failure patient indicates WORSENING fluid status requiring immediate escalation?

Accepted Answer

Weight gain of 3 lbs in 24 hours with increased dyspnea

Answer

Weight gain of 0.5 lb over 3 days

Answer

Mild ankle edema without dyspnea

Answer

BNP of 250 pg/mL at a stable baseline

Question 5

For a patient with chronic kidney disease (CKD) Stage 3b, which dietary modification is MOST important to slow disease progression?

Accepted Answer

Low-protein diet (0.6–0.8 g/kg/day) to reduce hyperfiltration and uremic solute load

Answer

High-protein diet to prevent muscle wasting

Answer

Elimination of all carbohydrates

Answer

Unrestricted sodium intake

Question 6

A patient with asthma reports using their rescue inhaler (albuterol) more than 2 days per week. This symptom pattern indicates asthma control classified as:

Accepted Answer

Not well-controlled

Answer

Well-controlled

Answer

Very poorly controlled

Answer

In remission

A patient with COPD has a FEV1/FVC ratio of 0.62 and a post-bronchodilator FEV1 of 55% predicted.According to GOLD classification, this patient is classified as:

A patient with COPD has a FEV1/FVC ratio of 0.62 and a post-bronchodilator FEV1 of 55% predicted.
According to GOLD classification, this patient is classified as: