Chronic Lung Disease Management Practice Test

A 65-year-old man with COPD is seen in clinic after two emergency visits for exacerbations in the past 6 months. He uses TIOTROPIUM daily and an ICS-LABA inhaler twice daily, plus ALBUTEROL as needed. He reports good adherence and correct technique. He continues to smoke one pack per day. Spirometry shows FEV1 40% predicted. He asks what single change would most reduce future exacerbations and slow decline. What patient education should be prioritized to manage this condition?

A 30-year-old woman with asthma presents for routine follow-up in clinic. She uses an ICS-LABA (inhaled corticosteroid–long-acting beta agonist) inhaler twice daily and ALBUTEROL as needed. Over the last month, she reports increased symptoms after adopting a cat. Peak flow log shows drops to 60% of personal best on several mornings, improving after ALBUTEROL. She has no fever and normal exam today. She asks how to use her written asthma action plan when her peak flow is low. What patient education should be prioritized to manage this condition?