LCQ LCQ Physical Domain 2 — Questions and Answers
Question 1: Which of the following is NOT typically assessed in the physical domain of the LCQ?
- Feeling tired from coughing
- Feeling embarrassed in company (Correct answer)
- Having a sore chest from coughing
- Being woken up at night by coughing
Correct answer: Feeling embarrassed in company
Embarrassment is a psychological/social impact and is not part of the physical domain of the LCQ.
Question 2: In clinical practice, a low physical domain score on the LCQ would prompt a clinician to investigate:
- Financial concerns related to cough
- Physical symptoms such as sleep disturbance, chest soreness, and breathlessness (Correct answer)
- Social withdrawal due to cough
- Anxiety and depression
Correct answer: Physical symptoms such as sleep disturbance, chest soreness, and breathlessness
A low physical domain score indicates significant physical burden, prompting investigation of bodily symptoms like sleep disruption and breathlessness.
Question 3: Feeling tired or exhausted as a result of chronic coughing is captured in which LCQ domain?
- Psychological domain
- Social domain
- Physical domain (Correct answer)
- It is not captured by the LCQ
Correct answer: Physical domain
Fatigue caused by coughing is a physical consequence and is assessed within the LCQ physical domain.
Question 4: Why is chest soreness included as a physical domain item in the LCQ?
- It reflects emotional distress from coughing
- It represents a direct musculoskeletal physical consequence of repeated coughing (Correct answer)
- It captures the social impact of chronic cough
- It measures lung function indirectly
Correct answer: It represents a direct musculoskeletal physical consequence of repeated coughing
Repeated coughing causes musculoskeletal strain and chest soreness, which is a direct physical consequence captured in the physical domain.
Question 5: Which physical symptom in the LCQ is most likely to correlate with objective cough frequency monitoring?
- Feeling embarrassed
- Sleep disruption due to coughing (Correct answer)
- Avoiding social gatherings
- Worrying about illness
Correct answer: Sleep disruption due to coughing
Sleep disruption from nocturnal coughing correlates most directly with objective cough frequency recorded by ambulatory monitors.
Question 6: In patients with bronchiectasis using the LCQ, which domain tends to show the most impairment?
- Social domain
- Psychological domain
- Physical domain (Correct answer)
- All domains are equally impaired
Correct answer: Physical domain
In bronchiectasis, the physical domain tends to show the greatest impairment due to the high burden of productive cough, breathlessness, and fatigue.
Which of the following is NOT typically assessed in the physical domain of the LCQ?