Ch39 Verified Test Bank Epidemiology Of Chronic Obstructive - Test Bank | Epidemiology of Chronic Disease 2e by Harris by Randall E. Harris. DOCX document preview.
Chapter 39. Epidemiology of Chronic Obstructive Pulmonary Disease
TEST BANK
True/False Questions
- Chronic Obstructive Pulmonary Disease (COPD) causes nearly 3 million deaths annually in the world population.
- Overall, COPD ranks fifth in cause-specific mortality and is projected to climb even higher in the coming years.
- The vast majority of deaths from COPD (nearly 90%) occur in developed countries.
- In developed countries, COPD currently ranks third in mortality, behind only cardiovascular disease and cancer.
- Chronic Obstructive Pulmonary Disease (COPD) actually refers to the presence of either of three conditions, asthma, emphysema, or chronic bronchitis.
- The predominant etiologic agent in the genesis of both emphysema and chronic bronchitis is cigarette smoking (or any other form of smoking tobacco).
- The best documented genetic risk factor for COPD is α1 antitrypsin deficiency.
- The inheritance pattern of defective α1 antitrypsin genes is autosomal dominant.
- Tobacco smoking accounts for approximately 50% of COPD in the world population.
- The risk of COPD increases 28% in men and 16% in women with each 10-pack-year increment of cigarette smoking.
- Recent estimates suggest that almost half of the world population is continually exposed to biomass smoke from the combustion of solid fuels such as wood and coal.
- Up to 20% of COPD cases are attributable to indoor sources of pollution such as biomass smoke from cooking and heating in poorly ventilated dwellings.
- The most important preventive strategy to reduce COPD morbidity and mortality is smoking cessation.
- Combined results from epidemiologic studies suggest there is a significant dose response in COPD risk with increasing duration of exposure to environmental tobacco smoke.
- The most important preventive strategy to reduce COPD morbidity and mortality is total abstinence from tobacco use.
Multiple Choice Questions
- Chronic Obstructive Pulmonary Disease (COPD) refers to the presence of which of the following conditions?
- Emphysema
- Chronic bronchitis
- Asthma
- a and b are correct.
- a, b and c are all correct.
- The diagnosis of COPD is confirmed by lung spirometry when the ratio of forced expiratory volume in one second (FEV1) to forced vital capacity (FVC) falls below what threshold value?
- 80%
- 70%
- 50%
- 40%
- After age 55 years, the prevalence of COPD in men exceeds that in women by approximately:
- 50%.
- 2-fold.
- 3-fold.
- 4-fold.
- The risk factors for COPD include all of the following except:
- ionizing radiation.
- chronic exposure to tobacco smoke.
- occupational coal mining.
- chronic exposure to biomass smoke.
- What primary genetic condition predisposes to emphysema?
- α1 antitrypsin deficiency
- Cystic fibrosis
- Lynch syndrome
- Neurofibromatosis
- The presence of COPD significantly increases the risk of which of the following forms of cancer?
- Lung cancer
- Breast cancer
- Colon cancer
- Esophageal cancer
- Tobacco smoking and/or chronic exposure to biomass smoke account for approximately what percentage of COPD cases in the world population?
- 50%
- 60%
- 70%
- 80%
- According to recent WHO survey data, approximately what fraction of adults are chronic smokers in the world population?
- One-fifth
- One-quarter
- One-third
- One-half
Essay Questions
- Distinguish between emphysema and chronic bronchitis.
- Discuss the global burden of COPD.
- Discuss findings of key studies of tobacco smoking and COPD.
- Discuss findings of key studies of indoor air pollution and COPD.
- Discuss findings of key studies of outdoor air pollution and COPD.
- Describe the primary genetic defect that predisposes to COPD.
- Characterize the association of COPD and lung cancer.
- Discuss strategies for the prevention and control of COPD.
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Test Bank | Epidemiology of Chronic Disease 2e by Harris
By Randall E. Harris
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