CPC Chronic Disease Management 2

Question 1

A patient with COPD has a FEV1/FVC ratio of 0.62 and a post-bronchodilator FEV1 of 55% predicted. According to GOLD classification, this patient is classified as:

Accepted Answer

GOLD 2 — Moderate

Answer

GOLD classification by FEV1 (post-bronchodilator, FEV1/FVC <0.70): GOLD 1 ≥80%, GOLD 2 50–79%, GOLD 3 30–49%, GOLD 4 <30%. An FEV1 of 55% predicted falls within GOLD 2 (Moderate).

Question 2

A community paramedic reviews a patient's inhaler technique during a home visit for COPD management. Which finding indicates INCORRECT metered-dose inhaler (MDI) technique?

Accepted Answer

Patient inhales quickly and forcefully rather than slowly and deeply

Answer

Correct MDI technique requires a SLOW, deep inhalation coordinated with actuation — not a fast, forceful breath. Rapid inhalation causes most of the medication to deposit in the oropharynx rather than the lower airways.

Question 3

Which target HbA1c is recommended by the American Diabetes Association for most non-pregnant adults with type 2 diabetes?

Accepted Answer

<7.0%

Answer

The ADA recommends an HbA1c target of <7.0% for most non-pregnant adults with type 2 diabetes, balancing glycemic control benefits against hypoglycemia risk. Less stringent targets (e.g., <8.0%) may be appropriate for elderly or high-risk patients.

Question 4

Which assessment finding in a heart failure patient indicates WORSENING fluid status requiring immediate escalation?

Accepted Answer

Weight gain of 3 lbs in 24 hours with increased dyspnea

Answer

A rapid weight gain of 3 lbs or more within 24 hours combined with worsening dyspnea is a cardinal sign of acute decompensated heart failure requiring urgent escalation to the patient's cardiologist or emergency services.

Question 5

For a patient with chronic kidney disease (CKD) Stage 3b, which dietary modification is MOST important to slow disease progression?

Accepted Answer

Low-protein diet (0.6–0.8 g/kg/day) to reduce hyperfiltration and uremic solute load

Answer

Dietary protein restriction (0.6–0.8 g/kg/day) reduces the glomerular filtration burden (hyperfiltration) and decreases production of uremic toxins, slowing progression of CKD in stages 3–4.

(CPC) Community Paramedic Certification Practice Test

(CPC) Community Paramedic Certification Practice Test

CPC Chronic Disease Management 2