Question

A 66-year-old former smoker (20 pack-years) has chronic dyspnea. CXR suggests hyperinflation. Which outpatient antibiotic criterion is appropriate during a COPD exacerbation?

Accepted Answer

Sputum purulence plus either increased dyspnea or sputum volume

Answer

Any increase in dyspnea alone requires antibiotics

Answer

Fever alone mandates antibiotics

Answer

Antibiotics only if CRP >100 mg/L

Answer

Antibiotics for all exacerbations regardless of symptoms

Practice question

A 66-year-old former smoker (20 pack-years) has chronic dyspnea. CXR suggests hyperinflation. Which outpatient antibiotic criterion is appropriate during a COPD exacerbation?