A 65-year-old with COPD presents with increased dyspnea, sputum purulence and volume. SpO₂ is 90% on room air; no pneumonia on CXR. Which regimen is m...

Question

A 65-year-old with COPD presents with increased dyspnea, sputum purulence and volume. SpO₂ is 90% on room air; no pneumonia on CXR. Which regimen is most appropriate?

Accepted Answer

Prednisone 40 mg daily for 5 days plus antibiotics because of cardinal symptoms

Answer

Prednisone 40 mg daily for 14 days without antibiotics

Answer

Inhaled corticosteroid burst for 10 days only

Answer

No steroids; start azithromycin for 3 days

Answer

Prednisone 10 mg daily for 10 days; no antibiotics

us-abfm MCQ (SBA): COPD Exacerbation

A 65-year-old with COPD presents with increased dyspnea, sputum purulence and volume. SpO₂ is 90% on room air; no pneumonia on CXR. Which regimen is most appropriate?