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Problem
Mary Antovich, a 63-year-old female, has smoked 1.5 packs a day since the age of 16. Lung function testing recently diagnosed Mary with COPD. Her medical history indicates that she has had 5 hospitalizations for asthma exacerbations in the past 2 years. During each of exacerbations she has suffered from severe respiratory distress and needed intensive treatment including systemic corticosteroids. She experiences difficult performing daily activities such as climbing stairs and her symptoms are not well controlled despite using regular asthma medications including a combination inhaler as a maintenance therapy.
Question A. Describe two key spirometry test measurements that confirm Mary has COPD. How can this test be used to distinguish COPD and asthma? How will this test be used to determine the severity of COPD?
Question B. Describe common symptoms Mary may encounter and how a questionnaire can be used to measure the impact COPD is having on Mary's wellbeing and daily life.
Question C. What medications are included in a combination inhaler, and does Mary's history support the use of combination inhalers as a maintenance therapy?
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