MedPoints™ in Chronic Obstructive Pulmonary Disease
For each question, please select the best option.
Items marked with * require a response.
Which of the following statements about a coordinated approach to COPD care is correct?
The goals are to shorten the length of hospitalization for an exacerbation, minimize the number of pharmacotherapies prescribed, and improve a patient’s activity level
To be effective, a coordinated care team must include a pulmonologist
Use of a discharge coordinator has been shown to reduce hospital readmission rates
A benefit of collaborative care is that the patient does not have to engage in self-management strategies
A patient who has been adherent to treatment with a combination of a long-acting beta agonist (LABA) and a long-acting muscarinic antagonist (LAMA) for his COPD is hospitalized with an exacerbation. Which pharmacologic intervention would be most appropriate to reduce his risk for future exacerbations?
Addition of an oral corticosteroid
Addition of an inhaled corticosteroid
Switch to an inhaled corticosteroid
Switch to a phosphodiesterase-4 inhibitor
Which of the following best describes the relationship between inhaled COPD therapies and adherence?
Adherence rates are consistently higher with inhaled medications, compared with medications administered through any other route
Adherence to inhaled medications is not related to frequency of administration
Patients with comorbid conditions tend to be more adherent to inhaled therapies than patients with no comorbid conditions
Decreased adherence to inhaled therapies is often related to difficulties with technique
Which of the following techniques is recommended for communicating with patients in the context of a medical interview to improve their treatment adherence?
Use of concise language
Use of a standard script
Avoidance of closed questions
Avoidance of choices