Which GOLD grade does Mark present with?

Learning Goal: I’m working on a health & medical question and need an explanation and answer to help me learn.

Mark Williams, was recently discharged from the hospital following his hospital exacerbation for his chronic obstructive pulmonary disease. He presents to the pulmonologist for reading of the results from his spirometry tests. His results return a FEV1 of 35%, CAT score of 8.

1. Which GOLD grade does Mark present with?

A. GOLD 1

B. GOLD 2

C. GOLD 3

D. GOLD 4

2. Which Category would Mark be classified?

A. A

B. B

C. C

D. E

3. Which modifier has the greatest impact on COPD therapy?

A. Weight loss

B. Blood pressure control

C. Smoking Cessation

D. Improved sleep habits

4. Which of the following would be most appropriate for Ms. Johnson, a 65-year-old female with a PMH of diabetes and heart failure who was recently diagnosed with community acquired pneumonia?

A. Amoxicillin 1 g three times daily

B. Azithromycin 500 mg on first day then 250 mg daily

C. Augmentin 875 mg/125 mg twice daily

D. Augmentin 875 mg/125 mg twice daily and Biaxin 500 mg twice daily

5. For patients being treated for community acquired pneumonia in the outpatient setting, when is azithromycin not recommended?

6. Which organization is responsible for COVID-19 treatment guidelines?

7. Which of the following updates was made in the 2021 Guideline on Management of Clostridioidesdifficile Infection (CDI) in adults?

A. In patients with an initial CDI episode, we suggest using fidaxomicin rather than a standard course of vancomycin

B. In patient with recurring CDI, we recommend a standard course of vancomycin

C. In patient with recurrent CID within the last 6 months, a standard course of antibiotics is preferred

D. In patients with an initial CDI episode, fidaxomicin in pulse dosing is an acceptable alternative to vancomycin

8. Which of the following guidelines are updated, at least annually?

A. Heart Failure

B. Diabetes

C. Hypertension

D. Asthma

9. American Diabetes Association implements a new four pillar approach to managing diabetes, these pillars include all of the following except?

A. Glycemic management

B. Lipid management

C. Diabetes education

D. Agents with kidney benefit

10. Which update was made recently regarding the use of continuous glucose monitoring?

A . 30-day CGM assessment of Time in Range and glucose management indicator is now recommended for management

B. CGM is recommended only for patient taking rapid-acting insulin

C. CGM is recommended in adults with type 1 diabetes only

D. CGM is recommended for children with both type 1 and type 2 diabetes who use rapid-acting insulin only

11. List two requirements for the initiation of spironolactone in HFrEF.

12. List a that trial helped establish the use of SGLT-2 inhibitors in patients with and without diabetes?

13. Provide three indications for use for dapagliflozin in heart failure?

14. Provide a regimen for an uncomplicated N. gonorrhoeae infection of the cervix in a patient allergic to cephalosporins

15. GM is a 59-year-old white female here for evaluation of her diabetes. All labs are normal except that her A1C is currently 8.6% vitals are normal, and BMI is 40. Her goal A1C is less than 7.5% . She is currently taking metformin 1,000 mg twice daily and canagliflozin 300 mg daily. Based on the ADA Algorithm which class of agents would be best to recommend for GM?

A. Dipeptidyl peptidase-4 inhibitors

B. Sodium glucose cotransporter 2

C. Glucagon like peptide inhibitors

D. Thiazolidinediones