1. COPD Stage I:

Answer

MILD FEV1/FVC <70>

*Chronic cough/sputum production

*Pt unaware lung function is abnormal

2. COPD Stage II:

Answer

MODERATE FEV1/FVC <70>

FEV1 50-80%

SOB with exertion

Cough and sputum production present

3. COPD Stage III:

Answer

SEVERE FEV1/FVC < 70>

FEV1 30-50%

Greater SOB

Reduced exercise capacity Fatigue

Repeated exacerbations with impact on QOL

4. COPD Stage IV:

Answer

VERY SEVERE FEV1/FVC<70>

FEV1<30>

Resp. Failure

Cor Pulmonale (elevation of JVP and pitting ankle edema) QOL very impaired

Exacerbations may be life threatening

5. How does FEV1 decrease?:

Answer 

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