8 Questions on the 2024 GOLD COPD Guidelines: A Quiz for Primary Care
Test your COPD IQ with these 8 questions on spirometry in COPD diagnosis, COPD exacerbations and treatment response, when to add ICS, and other topics for PCPs.
1. Which of the statements above about COPD is correct?
Answer: C. COPD involves abnormalities of the airways and/or alveoli
2. Airflow obstruction that is not fully reversible is specific to COPD: True or False?
Answer: False - Airflow obstruction that is not fully reversible can also occur with asthma and other diseases.
3. Which of the above represents the post-bronchodilator FEV1/FVC ratio consistent with COPD diagnosis?
Answer: A. FEV1/FVC ratio <0.7
4. Which of the above is the correct bronchodilation protocol to precede obtaining FEV1/FVC ratio for COPD diagnosis?
Answer: D. A. (400 µg SABA) and/or B. (160 µg SAAC)
5. COPD exacerbations contribute to disease progression, which is more likely if recovery from exacerbation is slow: True or False?
Answer A. True. Up to 20% of patients will not have recovered to their pre-
exacerbation state at 8 weeks.
6. Match the GOLD-recommended pharmacotherapy for a COPD exacerbation if response to LABA or LAMA is insufficient...
Answer: When blood eos ≥300 cells u/L -->LABA + LAMA + ICS and when blood eos <300 cells u/L-->LABA + LAMA.
7. Factor(s) that strongly favor adding an ICS to long-acting bronchodilator include which of the above?
Answer: C. (Hx or concomitant asthma) and D. (Hx hospitalizations for disease exacerbations)
8. Correct inhaler use is critical for drug effectiveness, and should be guided with full instruction at outset and reassessment on each visit. Match the possible remedy with each of the 2 deficiencies above.
Answer: A. Unable to coordinate MDI device triggering and inhalation --> consider a spacer or VHC and B. Unable to inhale slowly, deeply from inhalation device --> consider a nebulizer.
Quiz source: Global Initiative for Chronic Lung Disease. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (2024 Report). Global Initiative for Chronic Obstructive Lung Disease, Inc. 2024. https://goldcopd.org/2024-gold-report/. Accessed January 20, 2024.
Updates to the The 2024 Global Initiative for Chronic Obstructive Lung Disease (GOLD) report include using spirometry in diagnosis, optimizing inhaled pharmacotherapy, and how to avoid and to manage acute disease exacerbations. Take this Guideline Topline quiz and find out where you may need to brush up on GOLD recommendations.
For more on all of the 2024 updates, visit:
The 2024 COPD GOLD Report: A Guideline Topline, Part 1
COPD Management & Pharmacotherapy: A GOLD Guideline Topline: Part 2
